Clinical and psychiatric comparison of diverticular disease of the colon and irritable bowel syndrome
https://doi.org/10.31146/1682-8658-ecg-182-10-71-77
Abstract
Objective: to compare socio-demographic indicators, clinical symptoms, results of a psychiatrist consultation and psychometric testing, quality of life studies of patients with diverticular colon disease (DBTK) and irritable bowel syndrome (IBS).
Materials and methods: 112 patients with colon diverticulosis (DOC), clinically severe diverticulosis (CVD) and diverticular disease (DB) were examined, of which 26 were men, 86 were women, the average age was 64 ±10.7 years and 112 were patients with irritable syndrome intestines (IBS) (31 men, 81 women), average age — 37.2 ±12.6 years. Applied: irrigoscopy, colonoscopy, fecal fecal calprotectin analysis, in-person psychiatrist consultation, SCL-90-K questionnaire and SF-36 questionnaire.
Results: Mental disorders, mainly of a nosogenic nature, were detected in 80 (71.4%) patients with DOC, CVD, and DB. A correlation was established between the severity of mental pathology and the stage of diverticulosis. With IBS, in 107 (95.5%) mental changes were determined mainly with depressive syndromes of various structures. Somatic manifestations did not show noticeable diff erences. The indices of FC were the same for IBS and PKD and exceeded for CVD and especially for DB.
Conclusion: Diff erences in DBTK and IBS were revealed in the fi eld of mental disorders of varying severity, which requires diff erentiated therapy. Clinical manifestations did not show signifi cant diff erences.
About the Authors
V. M. MakhovRussian Federation
doctor of medical sciences, professor, Department of Faculty Therapy No. 1
119991, Russia, Moscow, Trubetskaya Street, 8, bldg. 2
L. V. Romasenko
Russian Federation
doctor of medical sciences, professor, head of the psychosomatic department
AutorID: 422449
119034, Russia, Moscow, Kropotkinskiy lane, 23
A. S. Panferov
Russian Federation
candidate of medical sciences, associate professor, Department of Faculty Therapy No. 1
119991, Russia, Moscow, Trubetskaya Street, 8, bldg. 2
Yu. A. Doroninа
Russian Federation
graduate student of the department, Department of Faculty Therapy No. 1
119991, Russia, Moscow, Trubetskaya Street, 8, bldg. 2
M. A. Isaykina
Russian Federation
assistant chair, Department of Faculty Therapy No. 1
119991, Russia, Moscow, Trubetskaya Street, 8, bldg. 2
M. V. Yurazh
Russian Federation
Gastroenterologist, Department of Gastroenterology, University clinical hospital 1
119991, Russia, Moscow, Trubetskaya Street, 8, bldg. 2
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Review
For citations:
Makhov V.M., Romasenko L.V., Panferov A.S., Doroninа Yu.A., Isaykina M.A., Yurazh M.V. Clinical and psychiatric comparison of diverticular disease of the colon and irritable bowel syndrome. Experimental and Clinical Gastroenterology. 2020;(10):71-77. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-182-10-71-77