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Sergatskiy K.I.

Penza State University, Penza, Russia

Kalinushkina A.O.

Penza State University, Penza, Russia

Malyakin I.V.

Penza State University, Penza, Russia

Nikolsky V.I.

Penza State University, Penza, Russia

Lazutov E.A.

Penza State University, Penza, Russia

Piskaev P.P.

Penza State University, Penza, Russia

Gavryushin M.A.

Penza State University, Penza, Russia

Perforated colonic diverticulum: what should a surgeon do?

Authors:

Sergatskiy K.I., Kalinushkina A.O., Malyakin I.V., Nikolsky V.I., Lazutov E.A., Piskaev P.P., Gavryushin M.A.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2026;15(2): 53‑60

DOI: 10.17116/dokgastro20261502153

Read: 576 times

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Table of contents

PERFORATED COLONIC DIVERTICULUM: WHAT SHOULD A SURGEON DO?
PERFORATED COLONIC DIVERTICULUM: WHAT SHOULD A SURGEON DO?

To cite this article:

Sergatskiy KI, Kalinushkina AO, Malyakin IV, Nikolsky VI, Lazutov EA, Piskaev PP, Gavryushin MA. Perforated colonic diverticulum: what should a surgeon do? Russian Journal of Evidence-Based Gastroenterology. 2026;15(2):53‑60. (In Russ.)
https://doi.org/10.17116/dokgastro20261502153

 
Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)
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Использование инфографики авторами научных работ
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Abstract:

Perforation of a colonic diverticulum remains a significant challenge in modern surgical practice and is frequently encountered in the management of patients with acute abdominal conditions.

OBJECTIVE

To evaluate current approaches to the surgical management of patients with perforated colonic diverticula based on a comprehensive literature review.

KEY POINTS

A literature search was conducted in PubMed, Scopus, Web of Science, eLibrary, and CyberLeninka databases covering the period from 2012 to 2024 using the following keywords: diverticular disease of the colon, colonic diverticula, perforated colonic diverticulum, and surgical treatment of perforated colonic diverticulum. Based on the analysis of the selected publications, current evidence on various surgical approaches and their effectiveness in patients with perforated colonic diverticula was summarized. Expert opinions, clinical practice guidelines, and results of multicenter studies addressing key aspects of surgical management were also reviewed.

CONCLUSIONS

Surgical treatment of perforated colonic diverticula is currently largely based on minimally invasive techniques. However, in severe cases, an open surgical approach remains more appropriate. The development and implementation of novel technologies aimed at improving outcomes in patients with perforated diverticular disease represent a promising direction and require further validation in multicenter studies.

Keywords:

colonic diverticulitis
intestinal perforation
colectomy
laparoscopy
colon

Authors:

Sergatskiy K.I.

Penza State University, Penza, Russia

Kalinushkina A.O.

Penza State University, Penza, Russia

Malyakin I.V.

Penza State University, Penza, Russia

Nikolsky V.I.

Penza State University, Penza, Russia

Lazutov E.A.

Penza State University, Penza, Russia

Piskaev P.P.

Penza State University, Penza, Russia

Gavryushin M.A.

Penza State University, Penza, Russia

Received:

13.03.2025

Accepted:

03.06.2026

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References:

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