DIVERTICULAR DISEASE OF THE COLON: RESOLVED AND UNRESOLVED ISSUES

Abstract

The article is devoted to the classification and treatment of diverticular disease of the colon, which is by its prevalence, nature, clinical manifestations, complications is not only a medical but also a huge socio-economic problem. The article elaborates various domestic and foreign classification approaches with the reflection of the merits and costs requiring appropriate changes in the modern Russian guidelines for the diagnosis and treatment of adult patients with diverticular disease of the colon for the development of treatment and preventive measures in different forms of the disease. The place and the analysis of the effectiveness of different therapy regimens with the use of the effect of rifaximin-α (Alfa Normix), mesalazine, dietary fiber, particularly psyllium in the treatment of diverticular disease without clinical manifestations (asymptomatic diverticulosis); DB with clinical manifestations, including recurrent form (symptomatic uncomplicated diverticulosis); in the treatment of acute uncomplicated diverticulitis and for prevention of recurrence of acute diverticulitis (term and permanent treatment) are established.

Keywords

• diverticular disease of the large intestine (colon)
• forms of the disease
• classification
• approaches to therapy
• rifaximin-α (alfa normix)
• mesalazine
• dietary fiber
• psyllium