gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctology10.33878/2073-7556-2016-0-2-65-74gnck-23Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWКОНЦЕПЦИЯ ЛЕЧЕНИЯ ВОСПАЛИТЕЛЬНЫХ ОСЛОЖНЕНИЙ ДИВЕРТИКУЛЯРНОЙ БОЛЕЗНИ (обзор литературы)COMPLICATED DIVERTICULAR DISEASE: CONTEMPORARY CONCEPT OF TREATMENT (review)КарсановАлан МухарбековичKarsanovA. M.karsan@inbox.ruМаскинС. С.MaskinS. S.noemail@neicon.ruГончаровД. Ю.GoncharovD. Yu.noemail@neicon.ruКлимовичИ. Н.KlimovichI. N.noemail@neicon.ruКарсановаЗ. О.KarsanovaZ. O.noemail@neicon.ruМатюхинВ. В.MatiukhinV. V.noemail@neicon.ruДегтярёваВ. В.DegtyarevaV. V.noemail@neicon.ruГБОУ ВПО «Северо-Осетинская государственная медицинская академия Минздрава России»; НУЗ «Узловая больница на ст. Владикавказ ОАО «РЖД»РоссияThe North-Ossetian State Medical Academy; Junction railway station hospital, Russian RailwaysRussian FederationГБОУ ВПО «Волгоградский государственный медицинский университет Минздрава России»РоссияThe Volgograd State Medical UniversityRussian FederationСПб ГБУЗ «Городская больница № 9»РоссияThe St. Petersburg City Hospital № 9Russian FederationГБОУ ВПО «Северо-Осетинская государственная медицинская академия Минздрава России»РоссияThe North-Ossetian State Medical AcademyRussian Federation201630062016026574Copyright © Карсанов А.М., Маскин С.С., Гончаров Д.Ю., Климович И.Н., Карсанова З.О., Матюхин В.В., Дегтярёва В.В., 20162016Карсанов А.М., Маскин С.С., Гончаров Д.Ю., Климович И.Н., Карсанова З.О., Матюхин В.В., Дегтярёва В.В.Karsanov A.M., Maskin S.S., Goncharov D.Y., Klimovich I.N., Karsanova Z.O., Matiukhin V.V., Degtyareva V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/23

В обзоре представлены обоснованные с позиций доказательной медицины принципы дифференцированного подхода к лечению воспалительных осложнений дивертикулярной болезни (ВОДБ). Основой для эффективного решения стратегических задач при ВОДБ является общепринятая дефиниция и классификация клинических форм заболевания. Принципы дифференцированной лечебной тактики при ВОДБ включают: консервативные методы лечения при неосложнённых формах, пункционно-дренирующий метод при абсцессах, резекционный (преимущественно, лапароскопический) подход при распространенном перитоните с расширением возможности выполнения первично-восстановительных (с протективной стомой) неотложных операций, а в случае планового хирургического лечения хронических осложнений - необходимость максимально широкого применения лапароскопических технологий.

The review respresents contemporary trends in treatment of diverticular disease. The basement of optimal decision making for these patients are clear diagnostic criteria, relevant diagnostic methods and comprehensive universal classification. The spectrum of therapies for diverticular disease includes conservative treatment for uncomplicated forms, percutaneous drainage for abscesses, resection for peritonitis. A possibility of primary anastomosis in case of resection for free perforation with or without protective stoma is discussed. Laparoscopic technologies for chronic complications of diverticular disease is a main trend to improve short, late and functional results in elective surgery.

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The authors declare that there are no conflicts of interest present.