medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-25-29-34medalphabet-4686Research ArticleСтатьиДивертикулярная болезнь: дивертикулез тонкой кишкиDiverticular disease: jejunoileal diverticulosishttps://orcid.org/0000-0001-7110-6249ЖдановА. И.ZhdanovA. I.

Жданов Александр Иванович, д. м. н., проф. кафедры специализированных хирургических дисциплин; хирург

Воронеж

Zhdanov Alexander I., DM Sci (habil.), professor at Dept of Specialized Surgical Disciplines; surgeon

Voronezh

alexzhdanov23@rambler.ruhttps://orcid.org/0000-0003-0259-2065БрежневС. Г.BrezhnevS. G.

Брежнев Станислав Геннадьевич, к. м. н., врач-колопроктолог отделения колопроктологии

Воронеж

Brezhnev Stanislav G., PhD Med, coloproctologist at Dept of Coloproctology

Voronezh

DrBrezhnev@mail.ruhttps://orcid.org/0000-0001-8103-8585СмольянниковаА. С.SmolyannikovaA. S.

Смольянникова Анна Сергеевна, аспирант кафедры специализированных хирургических дисциплин

Воронеж

Smolyannikova Anna S., postgraduate student at Dept of Specialized Surgical Disciplines

Voronezh

anniemorphine@mail.ruБУЗ ВО «Воронежская областная клиническая больница № 1» Минздрава России; ФГБОУ ВО «Воронежский государственный медицинский университет им. Н. Н. Бурденко» Минздрава РоссииРоссияVoronezh Regional Clinical Hospital No1; N. N. Burdenko Voronezh State Medical UniversityRussian FederationБУЗ ВО «Воронежская областная клиническая больница № 1» Минздрава РоссииРоссияVoronezh Regional Clinical Hospital No1Russian FederationФГБОУ ВО «Воронежский государственный медицинский университет им. Н. Н. Бурденко» Минздрава РоссииРоссияN. N. Burdenko Voronezh State Medical UniversityRussian Federation202516112025025«Гастроэнтерология и диетология» (3)2934Copyright © Жданов А.И., Брежнев С.Г., Смольянникова А.С., 20252025Жданов А.И., Брежнев С.Г., Смольянникова А.С.Zhdanov A.I., Brezhnev S.G., Smolyannikova A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/4686

В данной статье представлен обзор современного состояния проблемы дивертикулярной болезни тонкой кишки, а также клинический случай осложненного течения данной патологии. Дивертикулы тонкой кишки (ДТК) встречаются в популяции с частотой от 0,3 до 2,3 % и в большинстве случаев не проявляются клиническими симптомами. При избыточном размножении бактерий в тонкой кишке у пациентов может развиться синдром мальдигестии с клиническими проявлениями. Примерно в 10 % наблюдений тонкокишечные дивертикулы манифестируют острой клинической симптоматикой, требующей срочного хирургического вмешательства. Для диагностики ДТК важнейшую роль играют ультразвуковые, лучевые и эндоскопические методы исследования. Лечение дивертикулярной болезни тонкой кишки включает применение внутрипросветных антисептиков и антибиотиков, а в случае тяжелых осложнений – хирургическое вмешательство. В статье представлен клинический случай острого дивертикулита тонкой кишки с перфорацией и развитием паракишечного инфильтрата.

Заключение. Дивертикулярная болезнь тонкой кишки является опасным заболеванием ввиду сложностей в диагностике. Часто осложнения дивертикулярной болезни тонкой кишки принимают за другие заболевания. Рутинные методы диагностики не всегда могут дать точной визуализации и понимания патологической картины. Учитывая разноплановость жалоб пациентов и данных объективного обследования, терапевтам и хирургам необходимо иметь особую настороженность и не забывать о наличии данной патологии.

This article provides an overview of the current state of the problem of diverticular disease of the small intestine, as well as a clinical case of complicated course of this pathology. Small intestinal diverticula (SID) occur in the population with a frequency of 0.3 to 2.3 % and in most cases do not manifest clinical symptoms. With excessive proliferation of bacteria in the small intestine, patients may develop maldigestion syndrome with clinical manifestations. In about 10 % of cases, small intestinal diverticula manifest acute clinical symptoms requiring urgent surgical intervention. Ultrasound, radiation and endoscopic methods of examination play a crucial role in the diagnosis of SID. Treatment of diverticular disease of the small intestine includes the use of intraluminal antiseptics and antibiotics, and in case of severe complications – surgical intervention. The article presents a clinical case of acute diverticulitis of the small intestine with perforation and development of paraintestinal infiltrate.

Conclusion. Diverticular disease of the small intestine is a dangerous disease due to the difficulties in diagnosis. Often, complications of diverticular disease of the small intestine are mistaken for other diseases. Routine diagnostic methods cannot always provide accurate visualization and understanding of the pathological picture. Given the diversity of patient complaints and objective examination data, therapists and surgeons must be especially vigilant and not forget about the presence of this pathology.

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The authors declare that there are no conflicts of interest present.