DIAGNOSTICS AND SURGICAL TREATMENT OF COMPLICATED FORMS OF DIVERTICULAR DISEASE OF THE COLON

The article presents the results of treatment of patients with diverticular colon disease in the department of coloproctology of the Republican Clinical Hospital n.a. G.G. Kuvatov (Ufa) for the period from 2004 to 2018. The analysis of diagnostics and treatment tactics in complicated forms of diverticular colon disease was carried out. The results of the study of the sensitivity and specificity of various diagnostic methods made it possible to propose a rational diagnostic complex. The study revealed that MRI, CT and CT with retrograde contrast of the rectum are the most informative diagnostic methods for complicated forms of diverticular colon disease. In the presence of complex forms of diverticular colon disease, operations were performed in accordance with the proposed clinical algorithm. The main methods of surgical treatment of complicated forms were resection of the colon or colectomy with primary anastomosis. In perforation of the colon, the nature of the upcoming operation depended on the degree of intestinal damage. The activities (conservative therapy, surgery) carried out to help patients were quite effective. The number of severe postoperative complications was 3 cases, the mortality rate was 5.1%.

дивертикулярная болезнь толстой кишки, осложненные формы дивертикулярной болезни толстой кишки, диагностика, хирургическое лечение, diverticular disease of the colon, complicated forms of diverticular disease, diagnosis, surgical treatment