THE COMPLICATED DIVERTICULAR DISEASE - TACTICS
Abstract
In the clinic of General surgery Department of Novosibirsk State Medical University from 2005 to 2014 were observed in 43 patients with diverticular disease of the colon. Complications of diverticular disease with acute diverticulitis, paradigmatically infiltrates, abscesses, perforations, peritonitis - 31 patients aged 24 to 84 years. Diverticular disease complicated by bleeding, 12 cases (all women), ranging in age from 63 to 77 years. Acute diverticulitis was found in 11 patients, paradiverticular infiltrates, abscesses, perforation, peritonitis in 20. Conservative treatment in 11 patients was effective. It included infusion therapy, use of broad-spectrum antibiotics, antispasmodics, enteral nutrition mixtures. 20 patients were operated urgent. n 4 cases the draining operations are performed from laparotomy, because laparoscopy was not possible because of the early migrated in open surgery. The average age of the patients in this group was 64.5 + 8,54 years. Acute diverticulitis they have developed for the first time and was consistent with Hinchey III. 8 patients underwent resection of the obstructive, the average age was of 56.10 + 5.43 years. Recurrent diverticulitis have a high complication rate. In Hinchey II-III laparoscopic lavage and drainage are the alternative to Hartmann’s operation.
About the Authors
S. G. Shtofin
Novosibirsk State Medical University
Russian Federation
Russian Federation
M. N. Chekanov
Novosibirsk State Medical University
Russian Federation
Russian Federation
O. Yu. Lyovkin
Novosibirsk State Medical University
Russian Federation
Russian Federation
A. M. Chekanov
Novosibirsk State Medical University
Russian Federation
Russian Federation
A. A. Asatryan
Novosibirsk State Medical University
Russian Federation
Russian Federation
O. A. Shumkov
Novosibirsk State Medical University
Russian Federation
Russian Federation
Yu. V. Chikinyov
Novosibirsk State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Shtofin S.G., Chekanov M.N., Lyovkin O.Yu., Chekanov A.M., Asatryan A.A., Shumkov O.A., Chikinyov Yu.V. THE COMPLICATED DIVERTICULAR DISEASE - TACTICS. Experimental and Clinical Gastroenterology. 2017;(11):78-81. (In Russ.)
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