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Hyperbaric Oxygen Therapy For Cystic Intestinal Pneumatosis With

Medical information reviewed by: PORTARESCO VERONICA, Fizioterapeut

i.php?p=23. Tratamentul pneumatozei inte

Discover the hyperbaric medicine center opened in our clinic. Centrokinetic has the top-performing hyperbaric chamber in Bucharest, with multiple medical and anti-aging uses. The Baroks chamber has 5 seats, and operates at a constant pressure of 2.5 atmospheres, being fully automated and having protocols for each condition, and can be used individually for each patient. 

Hyperbaric oxygen therapy - benefits

Patients who use the clinic's hyperbaric therapy services benefit from:

  • The only medically accredited hyperbaric therapy chamber in Bucharest, which operates at 2.5 atmospheres (those for aesthetic use go to 1 atmosphere and have no medical benefits).
  • A safe medical procedure, without irradiation, without pain, without other side effects. 
  • The specialized medical team consists of recovery doctors, orthopedists, rheumatologists, neurologists, and neurosurgeons, meaning a multidisciplinary team specialized in all diseases that can be treated with hyperbaric therapy. 
  • Premium conditions at a fair price. Our clinic is recognized for the conditions offered and for the care of each patient. But we do not need to pay exorbitant prices to have access to quality medical services. At Centrokinetic you can find an affordable and fair price. But note that we do not have a contract with the National Health Insurance House (we do not offer state reimbursed services)

Centrokinetic is keeping contact with prestigious clinics and universities in Belgium, the Netherlands, France, and Greece to constantly update treatments to provide patients with the best medical solutions.

What is cystoid or cystic intestinal pneumatosis?

Cystoid or cystic intestinal pneumatosis (intestinal emphysema) is a symptom that can occur in many gastrointestinal diseases. This pathology comprises the formation in the intestinal wall (under the serous membrane) of the cystic cavities filled with air. Most often, they are seen in the jejunum and colon, except in the stomach wall. The size of the cysts varies from the size of a pea to the size of a hazelnut.

Causes

The main cause of pneumatosis is the excessive formation and long-term presence of gas in the intestine, which results from the following conditions:

  • Intestinal infections. In the case of severe intestinal lesions (dysentery, cholera, salmonellosis, food poisoning), increased gas formation is a consequence of the fermentation process and the release of gaseous substances by pathogenic microorganisms.
  • Digestive tract tumors. Malignant and benign tumors of the intestine cause narrowing or blockage of the lumen, which leads to intestinal obstruction, excessive accumulation of gas, and their penetration into the intestinal wall.
  • Other diseases of the digestive tract. Atony, inflammatory bowel disease (colitis, enterocolitis, Crohn's disease), the presence of adhesions between the loops, the organ, contributes to the violation of the use of gas formed and the formation of pneumatosis.
  • Unhealthy lifestyle. Adynamism, nervous disorders, consumption of excessive amounts of gas-forming products (cabbage, bread, etc.) can lead to indigestion, flatulence, and the formation of air cavities in the intestinal wall.

When acute complications occur (eg, perforation, peritonitis, necrotic bowel), surgery is indicated. 

Granulomatosis with polyangiitis or Wegener (GW) is an autoimmune disease, multisystemic, of unknown etiology, characterized by the appearance of necrotizing vasculitis in small and medium vessels and peri- and extravascular granulomatosis. Diarrhea, bleeding, and/or perforation have been reported as gastrointestinal complications of granulomatosis with polyangiitis. Although the gastrointestinal effects in patients with granulomatosis with polyangiitis are quite unusual, it is sometimes associated with mild to severe complications that can be life-threatening. 

Next, we present a case of cystic intestinal pneumatosis in a patient diagnosed with granulomatosis with polyangiitis, who was successfully treated with hyperbaric oxygen (HBO) for cystoid intestinal pneumatosis. 

What are the effects of oxygen therapy on the body?

  • Decreases inflammation
  • Increases the body's oxygen saturation by 20-30%
  • Increases the body's immunity
  • Increases blood circulation and stimulates the formation of new capillaries
  • Decreases toxins in the body
  • Stimulates the production of new blood cells
  • Increases healing rate

i.php?p=6. Eficacitatea oxigenarii hiper

Case presentation

A 70-year-old Japanese man with a 3-year history of granulomatosis with polyangiitis went to the hospital complaining of severe back pain. Computed tomography showed a large amount of gas located in the intestinal wall and its mesentery. He underwent urgent exploratory laparotomy, which led to a diagnosis of cystic intestinal pneumatosis without intestinal perforation or necrosis. As a result, he received 13 sessions of hyperbaric oxygen therapy and was discharged from the hospital without complications.

Patient history

The patient, aged 70, had granulomatosis for 3 years with polyangiitis which manifested as multiple nasal nodules, lung cavities, and necrotizing glomerulonephritis (positive antibodies). He took 15 mg prednisolone and 150 mg mizoribin2a a day. Cyclophosphamide or rituximab was not used. Three years after the diagnosis (when the total amount of prednisolone was 17.5 g), he complained of severe back pain and consulted Yokosuka Uwamachi General Hospital.

A physical examination revealed that his blood pressure was 143/93 mmHg, his heart rate 93 beats/minute, his respiratory rate 16 / minute, and his body temperature 36.6 ° C. His intestinal sounds indicated hypoactivity, and his abdomen relaxed. , but without major effects. Laboratory analysis showed a C-reactive protein level of 12 mg/dl (normal 0 to 0.3 mg/dl) and a white blood cell count of 9700 / l. 

Blood gas analysis showed pH 7.388, excess base - 6.0 mmol / L, and lactate 1.1 mmol / L.

Computed tomography (CT) showed a large amount of gas located in the abdominal wall, intestinal wall, and mesenteric wall. However, it was difficult to rule out the existence of open-air in the abdominal cavity and the possibility of intestinal perforation or necrosis.

Mesenteric portal pneumatosis was not detected.


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IN CASE YOU HAVEN'T ALREADY HEARD ABOUT US

Centrokinetic is the place where you will find clear answers and solutions for your motricity problems. The clinic is dedicated to osteoarticular diseases and is divided into the following specialized departments:

  • Orthopedics , a department composed of an extremely experienced team of orthopedic doctors, led by Dr. Andrei Ioan Bogdan, primary care physician in orthopedics-traumatology, with surgical activity at Medlife Orthopedic Hospital, specialized in sports traumatology and ankle and foot surgery. .
  • Pediatric orthopedics , where children's sports conditions are treated (ligament and meniscus injuries), spinal deformities (scoliosis, kyphosis, hyperlordosis) and those of the feet (hallux valgus, hallux rigidus, equine larynx, flat valgus, hollow foot).
  • Neurology , which has an ultra-performing department, where consultations, electroencephalograms (EEG) and electromyography (EMG) are performed. 
  • Medical recovery  for adults and  children , department specialized in the recovery of performance athletes, in spinal disorders, in the recovery of children with neurological and traumatic diseases. Our experience is extremely rich, treating over 5000 performance athletes.
  • Medical imaging , the clinic being equipped with ultrasound and MRI, high-performance devices dedicated to musculoskeletal disorders, and complemented by an experienced team of radiologists: Dr. Sorin Ghiea and Dr. Cosmin Pantu, specialized in musculoskeletal imaging.
Find the latest news by following the Facebook and YouTube accounts of the Centrokinetic clinic.  

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