IBS-like manifestations in large intestine diverticular disease
https://doi.org/10.21518/2079-701X-2019-3-130-135
Abstract
The article is devoted to the diverticular colon disease, its uncomplicated form, the connection with age. Symptoms allowing to define presence at this form of disease of IBS-like symptoms – pains and infringements of the psycho-emotional status are highlighted. The results of psychometric research and psychiatrist’s consultation of 102 patients are presented. The role of obesity in the genesis of diverticular disease is highlighted. The significance of spasmolytic therapy, in particular mebeverine, is presented.
About the Authors
V. M. Makhov
Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Dr. of Sci. (Med), Professor, Scientific Director of the Gastroenterology Department of the Department of Faculty Therapuy of Vinogradov Clinic, Professor of the Department of Faculty Therapy No. 1 of the Faculty of Medicine,
119991, Moscow, Trubetskaya Street, 8, bldg. 2
L. V. Romasenko
Federal State Budgetary Institution «National Medical Research Center for Psychiatry and Narcology named after V.P. Serbsky» of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dr. of Sci. (Med), Professor, Head of the Psychosomatic Disorders Department,
119034, Moscow, Kropotkinskiy lane, 23
A. S. Panferov
Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Cand. of Sci. (Med), Associate Professor of the Department of Faculty Therapy No.1,
119991, Moscow, Trubetskaya Street, 8, bldg. 2
Yu. A. Doronina
Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Postgraduate Student of the Department of Faculty Therapy No.1,
119991, Moscow, Trubetskaya Street, 8, bldg. 2
A. A. Balakhonov
Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Postgraduate student of the Department of Faculty Therapy No.1,
119991, Moscow, Trubetskaya Street, 8, bldg. 2
M. V. Yurazh
Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after I.M. Sechenov» of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Gastroenterologist of the Department of Gastroenterology of Vinogradov Clinic of the Faculty Therapy,
119991, Moscow, Trubetskaya Street, 8, bldg. 2
References
1. Ivashkin V.T., Shelygin Y.A., Achkasov S.I. [et al.]. Recommendations of the Russian Gastroenterological Association and the Association of Coloproctologists of Russia on diagnosis and treatment of adult patients with colon diverticular disease. Russian Journal of Gastroenterology, Hepatology, Coloproctology [Rossijskij zhurnal gastroenterologii, gepatologii, koloproktologii.]. 2016;26(1):65-80. https://doi.org/10.22416/1382-4376-2016-26-1-65-80.] (In Russ.)
2. Carabotti M., Annibale B. Treatment of diverticular disease: an update on latest evidence and clinical implications. Drugs Context. 2018;7:ID212526
3. Sabelnikova E.A. Topical issues of treatment and prevention of diverticular disease. Effective pharmacotherapy [Effektivnaya farmakoterapiya]. 2018;16:38-43. (In Russ.)
4. Orlova L.P., Trubacheva Y.L. Possibilities of modern ultrasonic diagnostics of colon diverticulosis. Medical imaging [Medicinskaya vizualizaciya.]. 2010;1:128-129. (In Russ.)
5. Cremon C., Bellacosa L., Barbaro M.R. et al. Diagnostic challenges of symptomatic uncomplicated diverticular disease. Minerva Gastroenterol. Dietol. 2017;63(2):119-129.
6. Kukes V.G. et al. Problems of modern spasmolytic therapy in gastroenterology. Medical alphabet [Medicinskij alfavit]. 2016;3(24):5-12. (In Russ.)
7. Levchenko S.V. et al. Clinical and morphological variants of colon diverticular disease. Experimental and clinical gastroenterology. [Eksperimental’naya i klinicheskaya gastroenterologiya.] 2013;3. (In Russ.)
8. Makhov V.M. et al. Irritated bowel syndrome - comorbid somatopsychological disease. RMJ. Attach. to the mater. of the Congress Human and Drugs [RMJ. Pril. k mater. kongr. Chelovek i lekarstvo.]. 2012;2. (In Russ.) (In Russ.)
9. Aune D., Sen A., Leitzmann M.F., Norat T., Tonstad S., Vatten L.J. Body mass index and physical activity and the risk of diverticular disease: a systematic review and meta-analysis of prospective studies. Eur J Nutr. 2017;56:2423–2438. doi: 10.1007/s00394-017- 1443-x.
10. Lee S.P., Ahn Y.W., Lee O.Y., Lee K.N., Sohn W., Lee H.L., Jun D.W., Yoon B. Ch., Choi H.S. The relationship between colonic diverticulosis and abdominal visceral and subcutaneous fat accumulation measured by abdominal CT scan. Turk J Gastroenterol. 2014;25:192-7. doi: 10.5152/ tjg.2014.4581.
11. Yamada E., Ohkubo H., Higurashi T., et al. Visceral obesity as a risk factor for left-sided diverticulitis in Japan: a multicenter retrospective study. Gut Liver. 2013;7:532–538.
12. Docimo S.Jr., Lee Y., Chatani P., et al. Visceral to subcutaneous fat ratio predicts acuity of diverticulitis. Surg Endosc. 2017;31:2808–2812.
13. Kastein Eth. A double blind cross-over study of Serc (betahistine dihydrochloride), 36 mg daily, versus placebo in outpatients with vertigo. Duphar report H108.5009, 1983. 14. Van Outryve M., Mayeur S., Meeus M.A., Rosillon D., Hendrick B., Ceuppens M. J. Clin. Pharm. Ther. 1995;20:277–282.
14. Agafonova N.A. et al. Effectiveness of mebeverine hydrochloride in the correction of intestinal motor disorders. RMJ. Diseases of the digestive system [RMZh. Bolezni organov pishchevareniya.]. 2005;7(2):101. (In Russ.)
15. Poynard T., Naveau S., Mory B., Chaput J.C. Metaanalysis of smooth muscle relaxants in the treatment of irritable bowel syndrome. Aliment. Pharmacol. Ther. 1994;8:499–510.
16. Maev I.V. et al. Results of the prospective observation programme «Odyssey»: effectiveness of mebeverine in patients with postcholecystectomic spasms. Therapeutic archive [Terapevticheskij arhiv.]. 2018;90(8):40-47. (In Russ.)
17. Ливзан М.А., Лялюкова Е.А. Патоморфоз хронического панкреатита: новое в привычном (по материалам Европейского консенсуса 2013). Лечащий врач. [Lechashchij vrach.] 2014;8:1-9. (In Russ.)
18. Ardatskaya M.D. Functional disorders of the biliary tract: problems of diagnosis and treatment. Pharmacy [Farmateka]. 2012;2:71–77. (In Russ.)
19. Maev I.V., Dicheva D.T., Andreev D.N. Actual aspects of pathogenetic pharmacotherapy of chronic biliary pancreatitis. Effective pharmacotherapy [Effektivnaya farmakoterapiya.]. 2012;26:12-17. (In Russ.)
20. Kiryushchenkov A.P. Influence of harmful factors on the fetus. M.: Medicine, 1978. (In Russ.)
21. Eremina E.Yu. Diseases of the digestive system in pregnant women. Gastroenterology of St. Petersburg [Gastroenterologiya Sankt-Peterburga.]. 2011;4:2-6. (In Russ.)
22. Zimmerman Y.S., Mikhaleva E.N. Possibilities of pharmacotherapy in the treatment of gastroenterological diseases during pregnancy. Clinical medicine [Klinicheskaya medicina.]. 2015;93:8. (In Russ.)
23. Maev I.V., Samsonov A.A., Andreev N.G. Abdominal pain syndrome and the place of spasmolytics in its correction. Pharmacy [Farmateka]. 2012;11. (In Russ.)
24. Seliverstov P. et al. Functional disorders of the biliary tract and their treatment. Doctor [Vrach]. 2012;3:9-9. (In Russ.)
Review
For citations:
Makhov VM, Romasenko LV, Panferov AS, Doronina YA, Balakhonov AA, Yurazh MV. IBS-like manifestations in large intestine diverticular disease. Meditsinskiy sovet = Medical Council. 2019;(3):130-135. (In Russ.) https://doi.org/10.21518/2079-701X-2019-3-130-135
Views:
657
Email this article 