ORGANIZATIONAL APPROACHES TO DIAGNOSTICS AND TREATMENT OF PATIENTS WITH INFLAMMATORY INTESTINAL DISEASES

• Main Authors: V. M. DURLESHTER, N. V. KOROCHANSKAYA, E. V. KOTELEVSKII, V. V. IGNATENKO, M. R. CHEMBAKHU, M. YU. IGNATENKO, E. A. ROMASHOK
• Format: Article
• Language: Russian
• Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2018-07-01
• Series: Кубанский научный медицинский вестник
• Subjects: ulcerative colitis; crohn’s disease epidemiology; surgical treatment
• Online Access: https://ksma.elpub.ru/jour/article/view/1224

Aim. Increasing of efficacy of special medical care to patients with inflammatory intestinal diseases by means of the new organizational approaches to diagnostics and treatment.Materials and methods. An analysis of treatment of 79 patients with inflammatory intestinal diseases in City clinical hospital Nr 2, Krasnodar from 2010 to 2012 and Regional clinical hospital Nr 2 Ministry of Health care of Krasnodar Region from 2012 to 2017 is presented. 46 patients (58.2%) had ulcerative colitis, and 33 patients (41.8%) had the Crohn’s disease.Results. The conservative therapy was administrated to all patients depending on inflammation severity after additional examination and diagnostics. Due to the absence of therapeutical efficacy, different kinds of surgery were carried out. 34 operations were performed on patients with ulcerative colitis (12 urgent ones and 22 elective ones), 22 operations were performed on patients with Crohn’s disease (17 elective ones and 5 urgent ones).Conclusion. An opportunely performed surgery with the use of the low-invasive technologies on the patients with inflammatory intestinal diseases allowed diminishing a frequency of surgical complications and decreasing of lethality