Preview

Grekov's Bulletin of Surgery

Advanced search

LONG-TERM RESULTS OF SURGICAL TREATMENT OF DIVERTICULAR DISEASE OF COLON

https://doi.org/10.24884/0042-4625-2016-175-2-101-104

Abstract

The work evaluated the long-term treatment results of 103 patients with complicated diverticular disease, who underwent the elective surgery in the volume of left hemicolectomy. The first group included 53 patients with recurrent diverticula. The second group consisted of 50 patients, who underwent the operation on diverticula of sigmoid colon with formation of sigmostoma on the first stage. The number of patients with functional gastro-intestinal and psyco-emotional disorders was more significant in the first group compared with the second group and it was associated with presence of these disorders before the operation. There was noted the reliable decrease of quality of life rates according to questionnaire scales MOS-SF 36 in the first group. The average indices of scales had some matching to the rates of health people in the patients of the second group. The authors came to conclusion, that indications for elective surgery should be determined very carefully in case of recurrent diverticula.

About the Authors

V. I. Pomazkin
Sverdlovsk regional clinical psychoneurological hospital for war veterans
Russian Federation


V. V. Khodakov
Sverdlovsk regional clinical psychoneurological hospital for war veterans
Russian Federation


References

1. Anaya D., Flum D. Risk of emergency colectomy and colostomy in patients with diverticular disease // Arch. Surg. 2005. Vol. 140. P. 681-685.

2. Broderick-Villa G., Burchette R., Collins C. et al. Hospitalisation for acute diverticulitis does not mandate routine elective colectomy // Arch. Surg. 2005. Vol. 140. P. 576-581.

3. Egger B., Peter M, Candinas D. Persistent symptoms after elective sigmoid resection for diverticulitis // Dis. Colon. Rectum. 2008. Vol. 51. P. 1044-1048.

4. Janes S., Meagher A., Frizellе F. Elective surgery after acute diverticulitis // Brit. J. Surg. 2005. Vol. 92. P. 133-142.

5. Moreno A., Willie-Jorgensen P. Long-term outcome in 445 patients after diagnosis of diverticular disease // Colorectal. Dis. 2007. Vol. 9. P. 464-468.

6. Munson K., Hensien M., Jacob et al. Diverticulitis: a comprehensive follow-up // Dis. Colon Rectum. 1996. Vol. 39. P. 318-322.

7. Simpson J., Neal K., Scholefield J., Spiller R. Patterns of pain in diverticular disease and the influence of acute diverticulitis // Eur. J. Gastroenterol. Hepatol. 2003. Vol. 15. P. 1005-1010.

8. Stollman N., Raskin J. Diagnosis and management of diverticular disease of the colon in adults. Ad hoc practice parameters of the American College of Gastroenterology // Am. J. Gastroenterol. 1999. Vol. 94. P. 3110-3121.

9. Thorn M., Graf W., Stefansson T., Pahlman L. Clinical and functional results after elective colonic resection in 75 consecutive patients with diverticular disease // Am. J. Surg. 2002. Vol. 183. P. 7-11.

10. Ware J., Sherbourne C. The MOS 36-item Short-Form Health Survey (SF-36) // Med. Care. 1992. Vol. 30. P. 473-483.

11. Wolff B., Devine R. Surgical management of diverticulitis // Am. Surg. 2000. Vol. 66. P. 153-157.


Review

For citations:


Pomazkin V.I., Khodakov V.V. LONG-TERM RESULTS OF SURGICAL TREATMENT OF DIVERTICULAR DISEASE OF COLON. Grekov's Bulletin of Surgery. 2016;175(2):101-104. (In Russ.) https://doi.org/10.24884/0042-4625-2016-175-2-101-104

Views: 389


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)