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RELATIONSHIP OF SOME "TYPOLOGICAL" FEATURES IN CHRONIC
COLOSTASIS
Egamov Yu.S.
Durdiev H.B.
Andijan State Medical Institute, Uzbekistan
https://doi.org/10.5281/zenodo.14214284
The relevance of the problem.
Colostasis (CS)or chronic constipation
(CC) is a heterogeneous pathology thatcombines a complex of general and
gastrointestinal symptoms [3]. Currently, the prevalence of CS exceeds the
number of patients with diabetes mellitus and chronic obstructive pulmonary
diseases, reaching 32.8% in old age [2].What is alarming is the fact that inThe
last 20 years have not seen any further significant improvements in
resultsobserved [1].The presence of multiple etiological factors of colostasis
often makes it difficult to choose the optimal tactics [4].This study is dedicated
to improving immediate results.
The aim of the study is
improving the immediate and long-term results of
surgical treatment for chronic colostasis by optimizing surgical tactics.
Material and research methods.
An analysis of the results of examination
and treatment of 396 patients suffering from chronic constipation (colostasis)
who were undergoing inpatient treatment in the proctology department of the
Department of Surgery and Civil Defense of the AndGosMI Clinic and the
Ellikkala District Medical Association of the Republic of Korakalpogiston was
conducted.
The sample of patients upon admission was conditionally divided into two
groups:
-comparison group –172 (43.4%)patients with CS in the period from 2015
to 2018, whose treatment was limited to subsequent standard patient
management.
-main group-224 (56.6%)patients with CS operated on in the period 2019
to 2023, who were treated with an improved treatment and diagnostic
algorithm, as well as a modified method of “immersion” invagination
coloanastomosis.
To achieve the goal and objectives of the study, general clinical, laboratory,
biochemical, instrumental and statistical research methods were carried out
according to the protocols approved by the Ministry of Health of the Republic of
Uzbekistan andCoracalpohistone.
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Results and their discussion.
ANDThe study is based on a prospective
and retrospective analysis with the inclusion of material from the proctology
department of the Andrei State Medical Institute clinic of 396 patients with
chronic constipation for the period 2015-2023.
At the age of 18-44 years, the frequency of this disease was also close to
each other, both in the comparison group and in the main one. In the
comparison group there were 10.5% of men (n=18), 33.7% of women (n=58),
and in the main group 9.8% of men (n=22), 29.9% of women (n=67). At the age
of 45-59 years in the comparison group it was determined as 9.3% (n=16) in
men and 23.8% (n=41) in women, and in the main group 7.6% (n=17) in men
and 25.4% (n=57) in women. However, at the age of 60-74 and 75-89 years the
number of the disease was observed less.
Taking into account the ratio of the main group to the comparison group, p
<0.05 was observed 1.3% more often between women and 1.2% more often
between men. The ratio of women to men was often 3:1.
As for the duration of the disease, it was found that it occurs more often in
the first year, while with a longer history there was a tendency for it to be less
frequent. When we took the ratio of the main group to the comparison group,
both among women and men, there was a reliable difference of p <0.05. At the
same time, a longer course of the disease was noted in female patients.
Patients with colostasis recommended for surgical intervention underwent
such operations as colonectomy, subtotal colonectomy, sigmoid colon resection
and hemicolectomy. Of these, 179 patients were from the main group and 134
patients were from the comparison group. It follows that sigmoid colon
resection was performed in 46.9% (n=84) of patients in the main group, and
comparison was performed in 43.3% (n=58) of patients in the control group.
One of the least performed operations is right hemicolectomy. It was performed
in 8.9% (n=16) of patients in the main group and in 9.7% (n=13) of patients in
the comparison group.
Conclusion.
Thus, pThe use of optimized surgical tactics for chronic colostasis
made it possible to reduce the frequency of postoperative complications
associated with surgical intervention from 25.3 to 16.2%, purulent-septic
complications from 18.6 to 9.5%, and general complications from 19.4 to 8.4%.
References:
1.
Ivashkin V.T., Shelygin Yu.A., Maev I.V. et al. Diagnosis and treatment of
constipation in adults (Clinical guidelines of the Russian Gastroenterological
Association and the Association of Proctologists of Russia) // Russian Journal of
Gastroenterology, Hepatology, Proctology. - 2020. -V. 30, No. 6. -P. 69-85.
MODELS AND METHODS IN MODERN SCIENCE
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2.
Lazebnik L. B. Prevalence and risk factors of constipation in the adult
population of Moscow (according to the population study "MUZA").
Experimental and clinical gastroenterology. - 2011. - No. 3. - P. 68-73.
3.
Nechay I.A. Treatment of chronic colonic stasis (constipation) 2023.
https://koloproktolog.ru/stati-o-zabolevaniyakh/khronicheskij-
tolstokishechnyj-staz-zapor.
4.
Storr M. Chronic constipation: current management and challenges
//Canadian Journal of Gastroenterology and Hepatology. - 2011. - Vol. 25. - No.
Suppl B. - P. 5B-6B.
