OPTIMIZATION OF THE SELECTION OF SURGICAL TREATMENT METHODS FOR CHRONIC COLOSTASIS BASED ON COMPREHENSIVE CLINICAL AND FUNCTIONAL ASSESSMENT
Keywords:
Chronic colostasis, chronic cologenic constipation, intestinal motility, surgical strategy, individualized approach, colorectal surgery, intestinal dysfunctionAbstract
Chronic colostasis (chronic cologenic constipation) remains one of the most relevant problems in modern abdominal surgery and coloproctology, characterized by a prolonged course, low response to conservative therapy, and a significant decline in patients’ quality of life. This article presents a comprehensive assessment of clinical, functional, instrumental, and laboratory parameters influencing the choice of surgical treatment in patients with chronic colostasis. The study considered disease duration, the degree of colonic motility impairment, anatomical and functional changes, patient age, and comorbid conditions, which enabled the development of individualized criteria for selecting the optimal type and extent of surgical intervention. The obtained results contribute to improving the effectiveness of surgical treatment, reducing postoperative complications, and shortening rehabilitation periods.
References
Bharucha A.Э., Pemberton J.H., Locke G.R. American Gastroenterological Association technical review on constipation. Gastroenterology. 2013;144(1):218–238.
Knowles C.H., Scott S.M., Lunniss P.J. Outcome of colectomy for slow transit constipation. Annals of Surgery. 1999;230(5):627–638.
Rao S.S.C., Camilleri M., Hasler W.L. Evaluation and management of chronic constipation in adults. The American Journal of Gastroenterology. 2016;111(1):18–38.
Bassotti G., Villanacci V. Slow transit constipation: a functional disorder becomes an enteric neuropathy. World Journal of Gastroenterology. 2006;12(29):4609–4613.
Dinning P.G., Hunt L.M., Arkwright J.W. Treatment efficacy of colectomy in severe slow transit constipation. Diseases of the Colon & Rectum. 2011;54(1):35–45.
Camilleri M. Chronic constipation: challenges and opportunities. The American Journal of Gastroenterology. 2011;106(5):835–842.
Lembo A., Camilleri M. Chronic constipation. New England Journal of Medicine. 2003;349(14):1360–1368.
Bharucha A.E. Constipation. Best Practice & Research Clinical Gastroenterology. 2007;21(4):709–731.
Knowles C.H., De Giorgio R., Kapur R.P. The London Classification of gastrointestinal neuromuscular pathology. Gut. 2010;59(7):882–887.
Longstreth G.F., Thompson W.G., Chey W.D. Functional bowel disorders. Gastroenterology. 2006;130(5):1480–1491.
Wexner S.D., Duthie G.S. Constipation: etiology, evaluation and management. Springer; 2006.
Pescatori M., Zbar A.P. Surgical treatment of constipation. World Journal of Surgery. 1998;22(5):415–421.
Bassotti G., Gaburri M. Manometric investigation of colonic motility in chronic constipation. Diseases of the Colon & Rectum. 1988;31(8):612–618.
Scott S.M., van den Berg M.M. Chronic constipation in adults. BMJ. 2013;347:f5040.
Rao S.S.C. Pathophysiology of adult fecal incontinence. Gastroenterology. 2004;126(1):S14–S22.
Shelыgin Yu.A., Fedorov V.D. Koloproktologiya. M.: GEOTAR-Media; 2015.
Vorobev G.I., Shelыgin Yu.A. Xirurgiya tolstoy kishki. M.: Meditsina; 2002.
Fedorov V.D., Kaprin A.D. Sovremennыe aspektы xirurgicheskogo lecheniya xronicheskix zaporov. Xirurgiya. 2014;(6):4–10.
Baranov A.A., Rumyansev A.G. Funksionalnыe zabolevaniya kishechnika. M.; 2016.
Shevchenko Yu.L., Abdullaev F.G. Kliniko-funksionalnaya otsenka motoriki tolstoy kishki. Vestnik xirurgii. 2012;(3):45–49.
Kurbaniyazov Z.B., Ruziboev S.A. Optimizatsiya xirurgicheskoy taktiki pri xronicheskix kolostazax. Vestnik SamGMU. 2018;(2):32–38.
Djabbarov Sh.R., Mardonov V.N. Xirurgicheskoe lechenie xronicheskogo kologennogo zapora. Jurnal xirurgii Uzbekistana. 2019;(4):41–47.
Saidov M.S., Abduraxmanov A.A. Funksionalnыe narusheniya tolstoy kishki i metodы ix korreksii. Tashkent; 2020.
Raxmatullaev A.A., Ziyadullaev Sh.X. Klinicheskie aspektы diagnostiki xronicheskix zaporov. Meditsinskiy jurnal Uzbekistana. 2021;(3):56–61.
Xatamov X.M., Soimnazarov O.E. Kompleksnaya diagnostika motorno-evakuatornыx narusheniy kishechnika. Samarkand; 2022.
Knowles C.H. Surgical management of constipation. Neurogastroenterology & Motility. 2009;21(Suppl 2):62–71.
De Giorgio R., Knowles C.H. Acute colonic pseudo-obstruction and chronic constipation. Gastroenterology. 2009;136(7):2295–2310.
Pemberton J.H. Surgical options for constipation. Current Gastroenterology Reports. 2000;2(5):389–394.
Tack J., Muller-Lissner S. Treatment of chronic constipation. Best Practice & Research Clinical Gastroenterology. 2011;25(1):151–158.
Rizaev A. Jasur , Abdurizaev A. Abdumalik , Boboev Sh. Alisher, Umirov A. Azamat. Minimally invasive methods of treatment of urolithiasis in children. Review of the current status of the issues // Journal of Biomedicine and Practice. 2023, vol . 8, issue 2, pp.75-86
Alimjanovich, R. J. "MINIMALLY INVASIVE METHODS OF TREATMENT OF UROLITHIASIS IN CHILDREN. REVIEW OF THE CURRENT STATUS OF THE ISSUES." JOURNAL OF BIOMEDICINE AND PRACTICE 8.2 (2023).
Rizaev Jasur , Rakhimov Nodir , Kodyrov Khamidullo , Shakhanova Shakhnoza . Study of prostate cancer death by regions of the republic of Uzbekistan.Journal of Biomedicine and Practice. 2022, vol . 7, issue 5, pp.202-210
Polatova Djamila , Madaminov Ahmad, Raximov Nodir . Significance of expression PD-L1 and p53 proteins in human papillomavirus-associated oropharyngeal squamous cell carcinoma// Journal of Biomedicine and Practice. 2022, vol . 7, issue 4, pp . 144-151
Shakhanova Sh Shakhnoza , Rakhimov M. Nodir , Tursunov S. Sherali , Ergashev E. Abdulatif , Davronov E. Ashboy . Melanoma of the skin and pregnancy // Journal of Biomedicine and Practice. 2023, vol. 8, issue 1, pp. 187-196
Bharucha A.E., Wald A. Chronic constipation. Mayo Clinic Proceedings. 2019;94(11):2340–2357.
