Surgical aspects of the treatment of diverticular colon disease complicated by the formation of a colovesical fistula
https://doi.org/10.17238/2072-3180-2023-2-110-115
Abstract
Introduction. The article describes a clinical case demonstrating the difficulties of diagnosis and aspects of surgical treatment of diverticular disease complicated by the formation of a colovesical fistula.
Discussion. A colovesical fistula is formed due to the destruction of the diverticulum wall due to chronic inflammation and the formation of a junction with a neighboring organ or the environment. Most often, colovesical fistulas are a consequence of a complicated course of diverticular disease, but the causes may also be inflammatory diseases of the colon, as well as tumor diseases of the intestine or urinary system. During the diagnosis and choice of treatment tactics for patients with diverticular disease complicated by the formation of a colovesical fistula, the participation of doctors of different specialties is necessary: coloproctologists, surgeons, urologists and oncologists. Without radical treatment, the risk of relapse is extremely
high. In this regard, timely diagnosis, a multidisciplinary approach and an adequate amount of surgical intervention are the key to successful treatment of patients with colovesical fistulas.
Conclusion. Surgical intervention in complicated forms of diverticular disease is the only possible option for radical treatment, while the choice of access and scope of intervention should be determined individually in each case and take into account the prevalence of the process, anatomical features and experience of the surgeon.
About the Authors
B. V. Sigua
North-Western State Medical University named after I. I. Mechnikov; Adamant Medical Clinic
Russian Federation
Russian Federation
Badri Valerievich Sigua, MD, Professor
191015
41, Kirochnaya st.
190068
78 lit. A, Embankment of the river Moika
St. Petersburg
A. V. Emelianenko
Adamant Medical Clinic
Russian Federation
Russian Federation
Alexey Valeryevich Emelianenko, Head of the Department
Department of Urology
190068
78 lit. A, Embankment of the river Moika
St. Petersburg
A. V. Asaturov
Adamant Medical Clinic
Russian Federation
Russian Federation
Artem Vartanovich Asaturov, Head of the Department
190068
78 lit. A, Embankment of the river Moika
St. Petersburg
A. A. Kurkov
North-Western State Medical University named after I. I. Mechnikov; Adamant Medical Clinic
Russian Federation
Russian Federation
Alexey Andreevich Kurkov, PhD
191015
41, Kirochnaya st.
190068
St. Petersburg
A. V. Globin
Adamant Medical Clinic
Russian Federation
Russian Federation
Anton Vladilenovich Globin, PhD
190068
78 lit. A, Embankment of the river Moika
St. Petersburg
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Review
For citations:
Sigua B.V., Emelianenko A.V., Asaturov A.V., Kurkov A.A., Globin A.V. Surgical aspects of the treatment of diverticular colon disease complicated by the formation of a colovesical fistula. Moscow Surgical Journal. 2023;(2):110-115. (In Russ.) https://doi.org/10.17238/2072-3180-2023-2-110-115
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