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Abstract

EFFECTIVENESS OF MATRA BASTI IN VASCULAR ECTASIA OF SIGMOID COLON (ANGIODYSPLASIA) – A CASE REPORT

Debraj Maity*, Prasanna Narasimha Rao, Gopikrishna B. J. and Sahanasheela K. R.

ABSTRACT

Background: Angiodysplasia is a rare disease of the colon related to other disease of the blood vessels. It involves abnormal dilatation of mucosal or sub mucosal blood vessels in the sigmoid colon. The vessels may cause recurrent bleeding which is rarely massive. Objective: The management of recurrent per rectal bleeding from sigmoid colon, current colonoscopic haemostasis or surgical resection may be too invasive in the presence of co-morbidities. In this context adjunctive or even primary medical therapy such as Matra Basti treatment may have a role. Methods: The Study has been carried out by use of Indukanta Ghrita Matra Basti 24 ml per day by increasing 6 ml every day for 9 days at 40 degree temperature. Takradhara has been given to stimulate CNS for controlled secretion of oestrogen-progesterone combination or other chemicals to reduce vasodilatation. Result: Indukanta Ghrita has healing properties which mainly work in vata dosha. Possible pharmacological options to stop the bleeding from sigmoid colon are reduction of intestinal blood flow, improved platelet aggregation, inhibition of neoangiogenesis and possible increase of Von Willebrand Factor (VWF) level and inhibition of gastric acid secretion. Conclusions: Mild recurrent sigmoid colon bleeding can be treated with Sneha Basti. Unresponsive to Basti therapy may require electro coagulation or surgical resection.

Keywords: vascular ectasia, per rectal bleeding, basti therapy, snehakarma.


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