Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis

Aim of investigation. Improvement of results of surgical treatment and quality of life of patients with severe forms of ulcerative colitis.Material and methods. Investigation is based on analysis of results of surgery of 123 ulcerative colitis patients operated in coloproctology center of Ministry o...

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Main Authors: V. N. Kashnikov, S. I. Achkasov, K. V. Bolikhov, O. I. Sushkov, I. V. Nazarov, A. V. Gusev
Format: Article
Language:Russian
Published: Gastro LLC 2014-12-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1159
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author V. N. Kashnikov
S. I. Achkasov
K. V. Bolikhov
O. I. Sushkov
I. V. Nazarov
A. V. Gusev
author_facet V. N. Kashnikov
S. I. Achkasov
K. V. Bolikhov
O. I. Sushkov
I. V. Nazarov
A. V. Gusev
author_sort V. N. Kashnikov
collection DOAJ
description Aim of investigation. Improvement of results of surgical treatment and quality of life of patients with severe forms of ulcerative colitis.Material and methods. Investigation is based on analysis of results of surgery of 123 ulcerative colitis patients operated in coloproctology center of Ministry of Health of Russia in 2007 to 2013, that was completed by reconstructive — plastic stage. Formation of smallintestinal reservoir in one stage with total resection of large intestine was carried out in 46 (37,4%) patients (the first group) and secondary, remote — in 77 (62,6%, the second group).Results. At analysis of complication types it was revealed, that complications related to stapling device prevailed in groups. At the present moment of 123 patients who have underwent surgical treatment with formation of smallintestinal reservoir, in 101 (82,1%) ileostoma was liquidated. Of them in the first group it has been closed in 31 (67,4%) patient, in the second — in 70 (90,1%). Thus only in 2 (4,3%) patients of the first and in 1 (1,2%) patient of the second group with developed postoperative complications closure of imposed ileostoma was not performed.Conclusions. Today formation of smallintestinal reservoirs is unique way of rehabilitation of patients with ulcerative colitis after total colectomy. Comparable results of treatment in analyzed groups have been received due to refusal of primary reservoir formation in patients with more severe course of disease and more intensive and long-term steroid therapy.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-e922c05c180a461fbf03aa472dcc0eeb2025-02-10T16:14:39ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732014-12-012467377754Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitisV. N. Kashnikov0S. I. Achkasov1K. V. Bolikhov2O. I. Sushkov3I. V. Nazarov4A. V. Gusev5Federal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationFederal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationFederal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationFederal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationFederal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationFederal state-funded institution «State Scientific Center of Coloproctology», Ministry of healthcare of the Russian FederationAim of investigation. Improvement of results of surgical treatment and quality of life of patients with severe forms of ulcerative colitis.Material and methods. Investigation is based on analysis of results of surgery of 123 ulcerative colitis patients operated in coloproctology center of Ministry of Health of Russia in 2007 to 2013, that was completed by reconstructive — plastic stage. Formation of smallintestinal reservoir in one stage with total resection of large intestine was carried out in 46 (37,4%) patients (the first group) and secondary, remote — in 77 (62,6%, the second group).Results. At analysis of complication types it was revealed, that complications related to stapling device prevailed in groups. At the present moment of 123 patients who have underwent surgical treatment with formation of smallintestinal reservoir, in 101 (82,1%) ileostoma was liquidated. Of them in the first group it has been closed in 31 (67,4%) patient, in the second — in 70 (90,1%). Thus only in 2 (4,3%) patients of the first and in 1 (1,2%) patient of the second group with developed postoperative complications closure of imposed ileostoma was not performed.Conclusions. Today formation of smallintestinal reservoirs is unique way of rehabilitation of patients with ulcerative colitis after total colectomy. Comparable results of treatment in analyzed groups have been received due to refusal of primary reservoir formation in patients with more severe course of disease and more intensive and long-term steroid therapy.https://www.gastro-j.ru/jour/article/view/1159ulcerative colitissurgical treatmentsmallintestinal reservoir
spellingShingle V. N. Kashnikov
S. I. Achkasov
K. V. Bolikhov
O. I. Sushkov
I. V. Nazarov
A. V. Gusev
Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
ulcerative colitis
surgical treatment
smallintestinal reservoir
title Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
title_full Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
title_fullStr Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
title_full_unstemmed Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
title_short Results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
title_sort results of formation of primary and secondary smallintestinal reservoirs at ulcerative colitis
topic ulcerative colitis
surgical treatment
smallintestinal reservoir
url https://www.gastro-j.ru/jour/article/view/1159
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AT oisushkov resultsofformationofprimaryandsecondarysmallintestinalreservoirsatulcerativecolitis
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