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Post a Comment Clinical significance of the modified Hinchey classification of acute diverticulitis
- Authors: Karpukhin O.Y.1,2, Shakirov R.R.1,2, Shakurov A.F.1,2, Pankratova Y.S.1,2
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Affiliations:
- Kazan State Medical University
- Republican Clinical Hospital
- Issue: Vol 16, No 3 (2024)
- Pages: 19-26
- Section: Original research
- URL: https://journal-vniispk.ru/vszgmu/article/view/271700
- DOI: https://doi.org/10.17816/mechnikov625952
- ID: 271700
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Abstract
BACKGROUND: In recent decades, there has been a widespread increase in the incidence of diverticular disease by more than 10 times and an increase in the frequency of its complications in the range from 5 to 25%.
AIM: To present the clinical experience of implementing the classification of acute diverticulitis according to E.J. Hinchey (1978) modified by A.M. Kaiser (2005).
MATERIALS AND METHODS: The srudy considered the hospitalizations of 314 patients with complicated diverticulitis; the patients were divided according to the Hinchey’s classification into 6 groups depending on the complications.
RESULTS: This classification allows not only to stage the disease depending on the severity of the complications, but also to verify these complications with the results of X-ray computed tomography. The modern methods of their correction, which were applied in the Republican Clinical Hospital (Kazan), are given.
CONCLUSIONS: The widespread use of the classification by therapists, surgeons, coloproctologists, and emergency doctors will ensure timely and effective treatment tactics, predict the dynamics of the inflammatory process, and manage the flow of patients with this pathology.
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##article.viewOnOriginalSite##About the authors
Oleg Yu. Karpukhin
Kazan State Medical University; Republican Clinical Hospital
Author for correspondence.
Email: oleg_karpukhin@mail.ru
ORCID iD: 0000-0002-7479-4945
SPIN-code: 7272-8878
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Kazan; KazanRais R. Shakirov
Kazan State Medical University; Republican Clinical Hospital
Email: raiskazan2@mail.ru
ORCID iD: 0000-0001-8344-2696
SPIN-code: 2570-6193
MD
Russian Federation, Kazan; KazanAydar F. Shakurov
Kazan State Medical University; Republican Clinical Hospital
Email: aydarsha@gmail.com
ORCID iD: 0000-0001-6617-8619
SPIN-code: 2788-8941
MD, Cand. Sci. (Medicine)
Russian Federation, Kazan; KazanYulia S. Pankratova
Kazan State Medical University; Republican Clinical Hospital
Email: iuliiaps@gmail.com
ORCID iD: 0000-0001-7498-2412
SPIN-code: 1511-6583
MD, Cand. Sci. (Medicine)
Russian Federation, Kazan; KazanReferences
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