[Pathological changes in the muscular tissue of the colon in diverticular disease].

Autor:	Konyukova AK; Avtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of Surgery, Moscow, Russia., Mikhaleva LM; Avtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of Surgery, Moscow, Russia.; Savelyeva Moscow City Clinical Hospital No. 31, Moscow, Russia.; Russian Medical Academy of Continuous Professional Education, Moscow, Russia., Kozlova MA; Avtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of Surgery, Moscow, Russia., Areshidze DA; Avtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of Surgery, Moscow, Russia., Pechnikova VV; Avtsyn Research Institute of Human Morphology of Petrovsky National Research Centre of Surgery, Moscow, Russia., Shapovaliants SG; Pirogov Russian National Research Medical University, Moscow, Russia.; Savelyeva Moscow City Clinical Hospital No. 31, Moscow, Russia., Mikhalev AI; Pirogov Russian National Research Medical University, Moscow, Russia.; Savelyeva Moscow City Clinical Hospital No. 31, Moscow, Russia., Bolikhov KV; Pirogov Russian National Research Medical University, Moscow, Russia., Shulaev AV; Savelyeva Moscow City Clinical Hospital No. 31, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Arkhiv patologii [Arkh Patol] 2024; Vol. 86 (4), pp. 13-22.
DOI:	10.17116/patol20248604113
Abstrakt:	The high incidence of colonic diverticular disease (DD) in the general population is a serious public health problem. According to statistics, DD is among the top five most common colorectal diseases. Complicated course of DD is observed in 12-15% of patients, and in 10.7% of cases can lead to death. Algorithms and recommendations for predicting the complicated course of DD for further prevention have not been developed. Objective: Comparative analysis of clinical data and structural characteristics of the colonic muscular tissue in patients with different course of DD and without colonic diverticula to identify morphological predictors of a complicated DD. Material and Methods: A comparative analysis of clinical data, pathomorphological and ultrastructural changes of the colonic musculature in the surgical material from 68 patients undergoing left-sided hemicolectomy was carried out. Results: The operative material of 37 patients with complicated course of DD, 19 with uncomplicated course of DD and 12 without diverticula was analyzed. In men, this disease occurs at a younger age than in women (Median age of men 49 (39.5; 61) years, women 66.5 (58; 81) years; U =178, p <0.001). It was shown that the area occupied by connective tissue fibres in the colonic musculature in patients with a complicated DD was 5 times greater (15%) than in observations with an uncomplicated DD (3%) and 50 times greater than in cases without colonic diverticula (0.3%; p <0.001). Conclusion: The present study demonstrates age- and sex-specific features of DD, as well as significant differences in the prevalence of fibrosis of the colonic musculature, which can be considered as a potential predictor of a complicated course of DD.
Databáze:	MEDLINE
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