MULTIMODAL DIAGNOSTICS AND SURGICAL TREATMENT OF ABNORMALITIES OF COLON DEVELOPMENT AND FIXATION IN ADULTS

AIM: to improve treatment results of adults with colon malformations and fixation abnormalities.

PATIENTS AND METHODS: retrospective observational study included 157 adults with colon malformations and fixation abnormalities.

RESULT: bioelectric excitability in colon malformations and fixation anomalies is typical due to stage of the disease and localization. It was found that disease progress is followed by the inhibition of bio-potentials and intestinal wall atrophy and atony. Sixty-nine (43.9%) patients had the compensated constipation. In 88 (56.1%) patients with sub- and decompensation have met indications for surgery. Seventy-two (45.9%) of them underwent surgery by open and laparoscopic approach. The type of the procedure depended on the type of abnormality. Postoperative complications occurred in 5 (6.9%) patients with mortality rate 1.4%. Better quality of life was detected in operated patients than of those, who refused surgery.

CONCLUSION: multimodal diagnostics with precise evaluation of the motor-evacuation function of the colon in patients with colon malformations and fixation abnormalities, assessment of conservative treatment, the determination of the type of surgery allows to improve functional results and quality of life.

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