[Clinical variants post hemicolectomy syndrome]

Hemicolectomy (hemicolectomia) - the surgical removal of about half of colon, left or right half of the colon. The reasons, which can lead to surgery hemicolectomy are tumors of the colon, colon polyps, complicated diverticular disease, inflammatory bowel disease (Crohn's disease or ulcerative colitis). Intestine dysbiosis develops as a result of effects on the multiple risk factors (surgery, antibiotic therapy, reduced immune status, presence of inflammatory processes, stress, etc.) in patients with various diseases of the gastrointestinal tract. The aim of our work was to study peculiarities of clinical manifestations in patients after hemicolectomy depending on the location of colon resection.

We examined 365 patients who underwent surgery hemicolectomy. There were women and men the ages of 30 to 85 years, of which 151 patients after right-sided hemicolectomy and 214 patients after left-sided hemicolectomy. Right- sided post hemicolectomic syndrome clinically manifests itself as pain syndrome in parumbilpical area in 62.9% of patients, flatulence (68.9%), constipation (7.9%), diarrhea (3.9%), apetite decrease (16.5%) patients. Left- sided post hemicolectomic syndrome manifests asa pain in the right upper quadrant in 64.0% of patients with symptoms of bloating (81.8%), constipation (64.1%), diarrhea (31.3%) and appetite decrease (32.2%). Right- sided post hemicolectomic syndrome prognostically is more favorable than the left-sided post hemicolectomic syndrome.