COMPLICATIONS OF SMALL INTESTINE DIVERTICULA, CASES FROM CLINICAL PRACTICE

Abstract

Background. Diverticula of the small intestine are protrusions of the intestinal wall in the form of a blind sac, they are a rare pathology of the gastrointestinal tract. In most cases, they are diagnosed when patients are hospitalized due to complications. With the advent of new radiation and endoscopic methods of research visualization of all parts of the intestine has become more accessible, but mortality in complicated diverticula reaches 50%. Purpose of research. Optimization of diagnosis and treatment of patients with small intestine diverticula. Material and methods. The article presents 3 own clinical cases of diagnosis and treatment of patients with complicated diverticula of the small intestine. All of them were taken to the hospital for emergency indications. Results. In all cases, the diagnosis was made intraoperatively. Two patients underwent diverticulectomy, one patient underwent resection of the intestine with a diverticulum and the formation of a side-to-side anastomosis. Conclusions. Diverticula of the small intestine are characterized by scant clinical symptoms and cause life-threatening complications. Radiographic and endoscopic diagnostic methods enable to visualize diverticula, but most often they are detected by diagnostic laparoscopy or laparotomy. The main methods of treatment are diverticulectomy, wedge-shaped resection of the intestine to ¾ of its lumen or removal of the small intestine with the formation of anastomosis.

Keywords

• diverticulum
• small intestine
• Meckel's diverticulum