Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?

The aim of review. To carry out analysis of literature data on necessity of the uniform approach to diagnostics and treatment of patients with Fournier’s disease (FD) and anaerobic paraproctitis (AP).Original positions. High mortality and morbidity at these diseases is caused by rapid generalization...

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Main Author: M. A. Yegorkin
Format: Article
Language:Russian
Published: Gastro LLC 2012-07-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1312
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author M. A. Yegorkin
author_facet M. A. Yegorkin
author_sort M. A. Yegorkin
collection DOAJ
description The aim of review. To carry out analysis of literature data on necessity of the uniform approach to diagnostics and treatment of patients with Fournier’s disease (FD) and anaerobic paraproctitis (AP).Original positions. High mortality and morbidity at these diseases is caused by rapid generalization of process, development of septic states and multiorgan failure. A basis of treatment is the urgent surgical intervention in combination to application of antibacterial and detoxication agents. Modern principles of antibiotic selection and carryings out of surgical interventions, application of additional methods of treatment in postoperative period are analyzed. At FD and AP radical elimination of suppurative focus in optimal terms (3–6 days after disease onset), subsequent complex antibacterial and detoxication therapy result in regression of signs of inflammation and convalescence of the majority of patients.Conclusion. It is proposed to apply the «Fournier’s disease» term only to infection originating from genitalia, differentiating that from anaerobic paraproctitis, because extensive use of this term complicates analysis of prevalence.
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spelling doaj-art-759c18b9e46f4ad0a1bc45556fcee0872025-02-10T16:14:32ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732012-07-012246672884Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?M. A. Yegorkin0ФГУ «ГНЦК Росмедтехнологии»The aim of review. To carry out analysis of literature data on necessity of the uniform approach to diagnostics and treatment of patients with Fournier’s disease (FD) and anaerobic paraproctitis (AP).Original positions. High mortality and morbidity at these diseases is caused by rapid generalization of process, development of septic states and multiorgan failure. A basis of treatment is the urgent surgical intervention in combination to application of antibacterial and detoxication agents. Modern principles of antibiotic selection and carryings out of surgical interventions, application of additional methods of treatment in postoperative period are analyzed. At FD and AP radical elimination of suppurative focus in optimal terms (3–6 days after disease onset), subsequent complex antibacterial and detoxication therapy result in regression of signs of inflammation and convalescence of the majority of patients.Conclusion. It is proposed to apply the «Fournier’s disease» term only to infection originating from genitalia, differentiating that from anaerobic paraproctitis, because extensive use of this term complicates analysis of prevalence.https://www.gastro-j.ru/jour/article/view/1312fournier’s diseaseanaerobic paraproctitissurgical treatmentantibacterial and detoxication therapy
spellingShingle M. A. Yegorkin
Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
fournier’s disease
anaerobic paraproctitis
surgical treatment
antibacterial and detoxication therapy
title Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
title_full Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
title_fullStr Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
title_full_unstemmed Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
title_short Fournier's disease and anaerobic paraproctitis – different clinical forms of same pathological process?
title_sort fournier s disease and anaerobic paraproctitis different clinical forms of same pathological process
topic fournier’s disease
anaerobic paraproctitis
surgical treatment
antibacterial and detoxication therapy
url https://www.gastro-j.ru/jour/article/view/1312
work_keys_str_mv AT mayegorkin fourniersdiseaseandanaerobicparaproctitisdifferentclinicalformsofsamepathologicalprocess