Diverticular disease of the colon.

Svistunov, Andrey; Осадчук, М А; Kireeva, N V; Zolotovitskaya, Alexandra

doi:10.18821/0023-2149-2018-96-6-498-505

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…Серед причин смертності на першому місці стоїть гнійний перитоніт (84 %), на другому -кишкова непрохідність (80 %), на третьому -утворення абсцесу (79 %) і на останньому -каловий перитоніт (44 %). У 60 % випадків дивертикули розташовуються в сигмовидної кишці, в 24 % -в низхідному відділі ободової кишки [1,2,3].…”

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Choice of Therapeutic and Diagnostic Measures for Acute Diverticulitis of the Color Intestinal With Development of Local Inflammatory Complications

Міщенко¹,

Пустовойт²,

Vododyuk³

et al. 2021

Khark. Surg. Sch.

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Summary: Introduction. Diverticular disease of the large intestine accounts for 30-60 % of all organ pathologies, among which acute diverticulitis is 20-60 %. The aim of the study was to select therapeutic and diagnostic measures for acute diverticulitis of the large intestine with the development of local inflammatory complications. Materials and methods. The results of treatment of 68 patients with acute diverticulitis were analyzed. Diagnostics included clinical and laboratory studies, irrigography, colonoscopy, ultrasound, computed tomography. Research results. 61.8 % of patients with Ia, Ib stages of acute diverticulitis were treated conservatively. Drainage was installed under ultrasound control into the abscess area in 10.3 % of patients with acute diverticulitis in stage Ib. Laparoscopic intervention was performed in 22.1 % of patients. Operated on emergency indications 33.8 % of patients with II, III, IV stages of acute diverticulitis from laparotomic access. Postoperative mortality was 8.7 % of cases. Conclusions:1. Comprehensive assessment of clinical, radiological, endoscopic data, ultrasound, CT data allows to establish the clinical form and stage of acute colon diverticulitis and to choose the correct treatment tactics. 2. Multicomponent drug therapy is a rational method of treatment in patients with stage Ia, Ib acute diverticulitis. 3. Surgical treatment is indicated in acute diverticulitis complicated by perforation and peritonitis, profuse intestinal bleeding or intestinal obstruction caused by cicatricial stricture. 4. The proposed therapeutic and diagnostic algorithm for acute diverticulitis of the large intestine with the development of pyoinflammatory complications should be introduced into the practice of general surgical departments.

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Section: вступunclassified

Choice of Therapeutic and Diagnostic Measures for Acute Diverticulitis of the Color Intestinal With Development of Local Inflammatory Complications

Міщенко¹,

Пустовойт²,

Vododyuk³

et al. 2021

Khark. Surg. Sch.

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Diverticular disease of large bowel: view of pathologic anatomist

Jargin

2021

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Discussion Aspects of Treatment for Diverticular Disease Complicated With First Episode of Acute Diverticulitis

2020

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AIM: evaluating the effectiveness of conservative treatment for diverticular disease complicated with first episode of acute diverticulitis. PATIENTS AND METHODS: we investigated the results of the conservative treatment of 68 patients with diverticular disease complicated with first episode of acute diverticulitis. The ages of patients range from 32 to 78. The diagnosis was made based on clinical examination, laboratory tests (markers of inflammation – CRP, faecal calprotectin) and imaging studies (irrigoscopy, colonoscopy, USG, CT, laparoscopy). In 19 of 68 patients (28%) affected segment of the colon was descending colon, in 49 (72%) patients sigmoid colon was effected.RESULTS: all 68 patients received conservative treatment (spasmolytics, antibiotics, probiotics, anti-inflammatory, antibacterial drugs, and diet). Rifaximin was used as antibiotic (daily dose 600-1200 mg). Treatment course lasted for 7 days. We used probiotic (Enterol) to normalize colonic microflora (1 capsule 2 times a day), treatment course lasted for 7-10 days. Long-term outcome of treatment and quality of life of 54 (79,4%) patients were evaluated 2-5 years after a first episode of uncomplicated acute diverculitis. 12 (22,2%) patients underwent medical examinations, in 54 (79,4%) patients we used a questionnaire for assessment. Two scales of MOS 36-Item Short Form Health Survey (MOS SF-36) were evaluated: physical functioning and mental health. Analysis the results of the treatment showed that recurrent episodes of acute diverticulitis did not occur. The analyse of the survey results showed that the mean score of the patients were close to the results of healthy population.CONCLUSION: pathogenetically based multicomponent conservative treatment in the first episode of acute diverticulitis can make a regression and normalize laboratory values.The study showed that no reccurence was reported and the quality of life of the patients was similar to healthy ones after conservative treatment. It confirmes that the conservative treatment is an alternative treatment method for a first episode of uncompliated acute diverticulitis.

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Diverticular disease of the colon.

Cited by 3 publications

References 32 publications

Choice of Therapeutic and Diagnostic Measures for Acute Diverticulitis of the Color Intestinal With Development of Local Inflammatory Complications

Choice of Therapeutic and Diagnostic Measures for Acute Diverticulitis of the Color Intestinal With Development of Local Inflammatory Complications

Diverticular disease of large bowel: view of pathologic anatomist

Discussion Aspects of Treatment for Diverticular Disease Complicated With First Episode of Acute Diverticulitis

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