gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLC10.22416/1382-4376-2016-5-66-73gastro-j-85Research ArticleНОВОСТИ КОЛОПРОКТОЛОГИИNEWS OF COLOPROCTOLOGYДиагностика и лечение неполных внутренних свищей прямой кишкиDiagnosis and treatment of incomplete internal rectal fistulasЧерножуковаМ. О.ChernozhukovaM. O.noemail@neicon.ruКузьминовА. М.KuzminovA. M.noemail@neicon.ruФроловС. А.FrolovS. A.noemail@neicon.ruКороликВячеслав ЮрьевичKorolikVyacheslav Yu.v.korolik@mail.ruМинбаевШ. Т.MinbayevSh. T.noemail@neicon.ruЕлигулашвилиР. Р.EligulashviliR. R.noemail@neicon.ruФГБУ «Государственный научный центр колопроктологии им. А.Н. Рыжих»РоссияFederal government-financed institution «Ryzhikh State Scientific Center of Coloproctology»Russian Federation2016120820182656673Copyright © Черножукова М.О., Кузьминов А.М., Фролов С.А., Королик В.Ю., Минбаев Ш.Т., Елигулашвили Р.Р., 20182018Черножукова М.О., Кузьминов А.М., Фролов С.А., Королик В.Ю., Минбаев Ш.Т., Елигулашвили Р.Р.Chernozhukova M.O., Kuzminov A.M., Frolov S.A., Korolik V.Y., Minbayev S.T., Eligulashvili R.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/85

Цель обзора. Представить данные литературы по диагностике и лечению неполных внутренних свищей прямой кишки. Основные положения. Неполные внутренние свищи прямой кишки - это «ниша» в проктологии, которая недостаточно изучена. Во-первых, само определение является терминологической «прорехой», которая не позволяет выделить группу свищей подобного типа как отдельную нозологическую форму. Во-вторых, из-за необходимости проведения сложных диагностических мероприятий (ввиду отсутствия наружного отверстия) затруднено дооперационное определение архитектоники свищевого хода. В связи с этим стандартного лечения свища подобного типа не существует. По данным литературы, частота рецидивов неполных внутренних свищей составляет 8-22%. Заключение. Анализ литературы показал, что имеется небольшое количество работ, в которых освещается данная проблема. Ввиду отсутствия классификации данной патологии не существует единой тактики ее лечения, которая позволила бы не только снизить риск развития рецидива, но и сохранить функцию удержания.

Aim of review. To present literature data on diagnosis and treatment of incomplete internal rectal fistulas. Summary. Incomplete internal rectal fistulas is an insufficiently studied «niche» in proctology. First of all, the definition itself is a terminological void which does not permit definition of these fistulas as a separate nosological entity. Second, as difficult diagnostic procedures are required (due to the absence of external orifice) preoperative assessment of the structure of fistulous tract is complicated. In regards to this the standard treatment of these fistulous does not exist. According to literature data, the frequency of recurrence of incomplete internal fistulous ranges from 8 to 22%. Conclusion. The literature analysis demonstrated that there is a small number of publications in which this problem is considered. Because of lack of classification of this pathology there is no uniform treatment approach which would allow to decrease the risk of relapses, and maintain retention function as well.

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