In recent years, inflammatory bowel diseases have been increasingly detected not only in adults, but also in children. Ulcerative colitis is a severe inflammatory disease affecting the large intestine, as a result of which edema develops in the intestine, the mucous membrane collapses with the formation of erosions and ulcers. The disease is indicated by the appearance of diarrhea, blood and mucus in the stool, as well as pain. The disease can be caused by a hereditary predisposition, as well as intestinal infections and environmental factors.
It should be noted that the advent of biological anti-cytokine drugs has made a real revolution in the treatment of severe intestinal diseases such as ulcerative colitis and Crohn's disease. New treatments have given patients a chance to lead a fulfilling life and avoid, or seriously delay, surgery.
The Expert Council of the Society for the Study of Inflammatory Bowel Diseases, held under the auspices of the Russian Gastroenterological Association, recently took place. The meeting was attended by leading international experts. The event was timed to coincide with the registration of new treatment regimens for ulcerative colitis. So far, only one drug has been used in the treatment of this disease in the Russian Federation. The Expert Council pointed to the experience of using anti-cytokine therapy in the treatment of patients with inflammatory bowel diseases, noted the increase in its importance at the present stage, the importance of developing this area and the emergence of new drugs with better properties.
For the first time in Russia, complete clinical trial data is presented. It should also be noted that the significant clinical effect was already 2 weeks after the start of therapy. The healing efficiency of intestinal lesions is about 65-72% during 6 weeks of treatment. The new treatment regimens are included in clinical guidelines and standards for use in Russian gastroenterological clinical practice. This allows for effective treatment of ulcerative colitis, including clinical remission without steroids, healing of the colon mucosa, and improved quality of life for patients.
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Questions and answers
Is there a better sleep aide i can get other than what I have been using over the counter
Is there a better sleep aide i can get other than what I have been using over the counter. I know getting Ambian is a big hassle but is here something in between? I've been using Ambian for about 10 years almost daily, if it matters.
Ambian is a one the brand names of Zolpidem. It's available in Russia. You can schedule appointment with neurologist (Dr. Maslak, for example) and doctor will do prescription for you ( for Zolpidem or maybe another sleeping pill).
Rhinoplasty after 40
I would like to do a rhinoplasty, but it is said in some sources that “rhino” is not indicated after 40.
Good afternoon, Lydia. Rhinoplasty is allowable in your age. Dr. Levine, for example, performs rejuvenation in conjunction with rhinoplasty. The human nose grows throughout life. It becomes longer and more unattractive in adulthood. The rhinoplasty in conjunction with a facelift helps to achieve more pronounced
results of rejuvenation.
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Levin Sergey
08 September 2016
What to do first
What should I do first: Laser Fraxel and then the fillers, or Vice versa?
Good afternoon, Larisa. It is usually recommended to start with laser rejuvenation techniques, and then "polish" the result with hyaluronic acid injections. We invite you for a consultation. You can make an appointment by tel.: + 7 (495) 933 -66-54
Karapetyan Marianna
08 September 2016
Malignant kidney tumor
CT scan revealed a malignant kidney tumor in my brother. The tumor size is 3x7, which corresponds to stage 2. Tell me, please, how long does it take for such a tumor to be developed? And is it possible to remove the tumor surgically (total kidney removal)?
For a more precise answer we need to assess patient’s CT scans ourselves. At the EMC’s Urology clinic, both total and partial kidney removal with tumor is performed using the da Vinci robot. These surgeries are very gentle with fast postoperative recovery.
Prostate cancer
I am 74 years old. Prostate cancer was diagnosed. Total PSA was 25.8 ng/ml. Outpatient check-up was carried out. Are "Zoladex" injections enough? Biopsy revealed moderately poorly-differentiated small-acinar prostate adenocarcinoma. Where to start?
You should start with an extended examination, namely: skeleton scintigraphy, pelvic MRI, oncological examination. If the results of these tests will be the normal: surgery or radiotherapy may be offered (both with/without “Zoladex” therapy). If the results are abnormal: radiation therapy with/without “Zoladex”
therapy or “Zoladex” therapy may be offered.
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