Radical surgery for non-neoplastic colonic diseases
Aim. To improve the results of surgical treatment for patients with non-neoplastic colonic diseases by optimizing the choice of radical surgery extent. Materials and methods. The study material was the analysis of radical surgical interventions performed in 87 patients with non-neoplastic colonic...
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Zaporizhzhia State Medical and Pharmaceutical University
2023-05-01
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| Series: | Zaporožskij Medicinskij Žurnal |
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| Online Access: | http://zmj.zsmu.edu.ua/article/view/274743/274919 |
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| author | V. M. Melnyk |
| author_facet | V. M. Melnyk |
| author_sort | V. M. Melnyk |
| collection | DOAJ |
| description | Aim. To improve the results of surgical treatment for patients with non-neoplastic colonic diseases by optimizing the choice of radical surgery extent.
Materials and methods. The study material was the analysis of radical surgical interventions performed in 87 patients with non-neoplastic colonic diseases: ulcerative colitis, Crohn’s disease, familial adenomatous polyposis, chronic colonic and coloproctogenic stasis, diverticular colon disease. The age of the operated patients was 20–72 years. There were 49 (56.3 %) men and 38 (43.7 %) women. The criteria for choosing the radical surgery extent for these diseases were defined and substantiated.
Results. There were 3 postoperative mortalities (3.4 %) among patients operated on absolute indications for acute complications of ulcerative colitis and Crohn’s disease. Recurrences of ulcerative colitis, Crohn’s disease and familial adenomatous polyposis occurred in 16 (18.4 %) operated patients in the area of the retained rectal stump and terminal ileum. Malignant transformation of the rectal stump occurred in 5 (5.7 %) patients with these recurrences. The extent of radical surgery in non-neoplastic colonic diseases depended on the diagnosis of the underlying disease, the presence of complications, the depth of wall lesions and the extent of the pathological process, the risk of recurrence in the anatomical parts of the small and large intestine.
Conclusions. Deciding on the extent of the radical stage of surgical intervention depended on the diagnosis, features of the clinical course of non-neoplastic colorectal diseases, recurrences, the general condition of a patient, the pathological process extent and severity. Performing the optimal extent of radical surgery for non-neoplastic colonic diseases helped reduce the number of recurrences in the terminal part of the small intestine to 4 (4.6 %), in the area of the rectal stump to 7 (8.1 %), improved functional outcomes and quality of life in 76 (87.3 %) operated patients. |
| format | Article |
| id | doaj-art-b2a4f0864bf645beb9b97d3689b3d6a5 |
| institution | DOAJ |
| issn | 2306-4145 2310-1210 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Zaporožskij Medicinskij Žurnal |
| spelling | doaj-art-b2a4f0864bf645beb9b97d3689b3d6a52025-08-20T03:04:30ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102023-05-0125322522910.14739/2310-1210.2023.3.274743Radical surgery for non-neoplastic colonic diseasesV. M. Melnyk0https://orcid.org/0000-0003-4788-546XBogomolets National Medical University, Kyiv, UkraineAim. To improve the results of surgical treatment for patients with non-neoplastic colonic diseases by optimizing the choice of radical surgery extent. Materials and methods. The study material was the analysis of radical surgical interventions performed in 87 patients with non-neoplastic colonic diseases: ulcerative colitis, Crohn’s disease, familial adenomatous polyposis, chronic colonic and coloproctogenic stasis, diverticular colon disease. The age of the operated patients was 20–72 years. There were 49 (56.3 %) men and 38 (43.7 %) women. The criteria for choosing the radical surgery extent for these diseases were defined and substantiated. Results. There were 3 postoperative mortalities (3.4 %) among patients operated on absolute indications for acute complications of ulcerative colitis and Crohn’s disease. Recurrences of ulcerative colitis, Crohn’s disease and familial adenomatous polyposis occurred in 16 (18.4 %) operated patients in the area of the retained rectal stump and terminal ileum. Malignant transformation of the rectal stump occurred in 5 (5.7 %) patients with these recurrences. The extent of radical surgery in non-neoplastic colonic diseases depended on the diagnosis of the underlying disease, the presence of complications, the depth of wall lesions and the extent of the pathological process, the risk of recurrence in the anatomical parts of the small and large intestine. Conclusions. Deciding on the extent of the radical stage of surgical intervention depended on the diagnosis, features of the clinical course of non-neoplastic colorectal diseases, recurrences, the general condition of a patient, the pathological process extent and severity. Performing the optimal extent of radical surgery for non-neoplastic colonic diseases helped reduce the number of recurrences in the terminal part of the small intestine to 4 (4.6 %), in the area of the rectal stump to 7 (8.1 %), improved functional outcomes and quality of life in 76 (87.3 %) operated patients.http://zmj.zsmu.edu.ua/article/view/274743/274919сolonulcerative colitiscrohn’s diseasefamilial adenomatous polyposissurgical treatment |
| spellingShingle | V. M. Melnyk Radical surgery for non-neoplastic colonic diseases Zaporožskij Medicinskij Žurnal сolon ulcerative colitis crohn’s disease familial adenomatous polyposis surgical treatment |
| title | Radical surgery for non-neoplastic colonic diseases |
| title_full | Radical surgery for non-neoplastic colonic diseases |
| title_fullStr | Radical surgery for non-neoplastic colonic diseases |
| title_full_unstemmed | Radical surgery for non-neoplastic colonic diseases |
| title_short | Radical surgery for non-neoplastic colonic diseases |
| title_sort | radical surgery for non neoplastic colonic diseases |
| topic | сolon ulcerative colitis crohn’s disease familial adenomatous polyposis surgical treatment |
| url | http://zmj.zsmu.edu.ua/article/view/274743/274919 |
| work_keys_str_mv | AT vmmelnyk radicalsurgeryfornonneoplasticcolonicdiseases |