ДИВЕРТИКУЛЕЗ

Дивертикулез - очень частая находка при сигмо или колоноскопии 

 

Видео сделанное доктором Joseph S. Galati у пациента 50 лет при скрининговой колоноскопии, с жалобами на слабую боль в левой нижней части живота. На видео дивертикулы (выглядят как отверстия в кишке) во всей правой части толстой кишки. Дивертикулез встречается после 50 лет у 30% пациентов. Чаще всего без каких либо проявлений, иногда незначительные боли в левой половине живота, вздутие, дискомфорт, запоры. Осложнение дивертикулеза - дивертикулит, что есть воспаление дивертикулов, которое в свою очередь может осложниться абсцессом, перфорацией кишечника и требует неотложного хирургического вмешательства.  При дивертикулезе показаны отруби от 35 до 40 гр в день.Типичная клиническая картина дивертикулита похожа на аппендицит, только боли локализуются в левой нижней части живота. Дивертикулит требует назначения антибиотиков покрывающих анаэробную флору и визуализации (КТ). У нас есть опыт лечения пациентов с дивертикулитом.

 

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