Diseases of the digestive tract and intestines accompany us throughout life. But scientists and doctors noticed: constipation, flatulence, diverticulosis, dysbacteriosis - diseases almost unknown until the middle of the 20th century, have become the eternal nightmare of modern people..

Is it only our lifestyle with eternal stress and haste to blame for this And how to deal with \?

Diseases ancient and new When the functional disorders characteristic of this syndrome turn into inflammation, the diagnosis of " It can be both microbial and ulcerative, which is just one of the inflammatory diseases of the large intestine, which is extremely exciting for specialists..

If the treatment of inflammatory bowel diseases is not started in time, then malignant tumors of the colon may develop against their background.. The number of the latter has increased by 20% over the past ten years, which put them in first place among cancers of the gastrointestinal tract and in third place among all cancers in general.. Half of new colon cancer cases are fatal.

The culprit is an unhealthy diet The rise in inflammatory bowel disease has recently been observed worldwide. Increasingly, cases of the formerly very rare Crohn's disease (which was only described in 1932 by Dr.. Kron and named after him). Scientists see the causes in heredity (for example, first-line relatives have a risk of developing Crohn's disease 10-35 times higher, and the risk of developing ulcerative colitis is 8-10 times higher than in the general population). And also - in individual disorders of the immune system by smoking, intestinal infections, the use of drugs that damage the intestinal mucosa (acetylsalicylic acid, indomethacin). But the main thing is an unhealthy diet with a lot of preservatives and GMOs..

What irritates the intestines?

In particular, due to the uncontrolled use of steroid hormones, severe and advanced forms of diseases that are difficult to treat prevail..

If we talk about colon cancer, then, despite the severity of this diagnosis, it is treated more easily (and completely cured in the initial stages) than inflammatory bowel disease..

And even at first glance, diseases that are easy to diagnose and treat - rectal fissures and hemorrhoids, with the wrong surgical intervention, can give very serious complications..

How to be treated by a coloproctologist?

All this suggests that inflammatory bowel disease, like other colon pathologies, should be treated by well-trained specialists.. By the way, the need to use special technologies for the treatment of diseases of the colon was thought back at the beginning of the 19th century, when special hospitals began to be created in Europe for this purpose.. Established medical specialty. The field of activity of modern coloproctology is the diagnosis and treatment of diseases of the entire colon (and not just the rectum), anal canal and perineum. In fact, it includes the knowledge and methods of the three "

In our country, this specialty was approved in 1997, and the role of its leading scientific and methodological center was assigned to the State Scientific Center for Coloproctology, which existed in the USSR since 1978. Through the activities of this institution over the past 30 years, a number of new, more effective methods of treating bowel diseases have been developed.. Including inflammatory diseases and cancer of the rectum and colon.

New technologies are used not only in the capital, but in almost all regions of Russia, where proctology departments or outpatient rooms for this specialty are open.. There are none in only 5-6 regions. In large cities, a special service has been created to improve the rehabilitation of stoma patients.

How are they treated?

The first tactic in the treatment of patients with inflammatory bowel disease is the use of conservative therapy. It gives an effect in about 70% of cases with moderate and often even with severe stages of the disease.. A lot of medications have to be used - here are aminosalicylates, glucocorticosteroids, immunosuppressants, and antibacterial, metabolic agents, and immunomodulators.

Recently, experts have pinned their hopes on a new class of drugs - biological agents, or anticytokine drugs..

They selectively target cytokines, substances that scientists have shown to support inflammation.. But these expensive funds are far from always available to patients, especially now that the economic crisis has narrowed the ability of the state to finance high-tech drugs..

In addition, 15-20% of patients still require surgical treatment due to complications.. And here, the experience and qualifications of a doctor, as well as his knowledge of advanced technologies, such as organ-preserving endomicrosurgical operations, the use of more advanced types of diagnostics and new types of instruments, are of particular importance.. Of course, only specialist coloproctologists can own them..

In the work of any coloproctologist, the diagnosis and treatment of tumors of the rectum and colon, inflammatory bowel diseases, diverticulosis is a daily, familiar work.. The concentration of specialized patients helps to accumulate the richest experience. If general surgery is taken up for the treatment of such patients, this will be a step back for half a century: that is how long coloproctology exists as an independent service..

Marina Sleta nedug. en.

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