Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis

Aim of investigation. To estimate efficacy of rifaximin in complex conservative treatment of chronic diverticulitis.Material and methods. The main group included 43 patients that received 200 mg rifaximin every 8 h within conservative treatment mode for 14 days. Of all patients 34 were women (79,1%)...

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Main Authors: S. I. Achkasov, A. I. Moskalyov, Yu. L. Trubachyova, A. F. Filon
Format: Article
Language:Russian
Published: Gastro LLC 2012-04-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1282
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author S. I. Achkasov
A. I. Moskalyov
Yu. L. Trubachyova
A. F. Filon
author_facet S. I. Achkasov
A. I. Moskalyov
Yu. L. Trubachyova
A. F. Filon
author_sort S. I. Achkasov
collection DOAJ
description Aim of investigation. To estimate efficacy of rifaximin in complex conservative treatment of chronic diverticulitis.Material and methods. The main group included 43 patients that received 200 mg rifaximin every 8 h within conservative treatment mode for 14 days. Of all patients 34 were women (79,1%), 9 – men (20,9%), age of patients ranged 44 to 84 years. Severity of clinical symptoms at onset of treatment varied from 1 to 3 points, mean score was 2,11 points (М0=2 points). Extent of inflammatory changes (according to abdominal US or CT with estimation in relation to sigmoid colon axis) varied from 5 to 8 cm, mean – 6,2 cm (М0=6 cm), thickness of muscular layer – from 2 to 5 mm (mean – 2,7 mm, М0=2,5 mm). The control group included 40 patients, who received no rifaximin at conservative treatment. Of all patients 32 were women (80,0%), 8 – men (20,0%), age of patients ranged from 32 to 74 years (mean — 60,9 years, М0=60 years). Severity of clinical symptoms at beginning of treatment varied from 1 to 3 points, 2,18 points mean (М0=2 points). Extent of inflammatory changes varied from 5 to 8 cm, mean – 6,8 cm (М0=6 cm), thickness of muscular layer – from 2 to 5 mm (mean – 2,6 mm, М0=2,5 mm).Results. At the end of 2nd day of treatment intensity of symptoms in main group was 1,55 points, in the control group – 1,69 points (р=0,12). According to US data, no changes in both groups were observed. At the 14th day intensity of clinical symptoms in the main group was 0,26 points (in the control group – 0,71 points; р=0,09). According to results of US in 31 patients of the main group (72,1%) and in 28 controls (70,0%) signs of active inflammation were absent.Conclusions. Rifaximin – is an effective drug for complex conservative treatment of the chronic relapsing diverticulitis, that allows significantly to reduce terms for achievement of complete clinical response.
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-83fc4dbb6f844a8f98dd0e75d7e8d1412025-02-10T16:14:32ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732012-04-012227176859Efficacy of rifaximin in the treatment of chronic relapsing diverticulitisS. I. Achkasov0A. I. Moskalyov1Yu. L. Trubachyova2A. F. Filon3ФГБУ ГНЦ колопроктологии Минздравсоцразвития РФФГБУ ГНЦ колопроктологии Минздравсоцразвития РФФГБУ ГНЦ колопроктологии Минздравсоцразвития РФФГБУ ГНЦ колопроктологии Минздравсоцразвития РФAim of investigation. To estimate efficacy of rifaximin in complex conservative treatment of chronic diverticulitis.Material and methods. The main group included 43 patients that received 200 mg rifaximin every 8 h within conservative treatment mode for 14 days. Of all patients 34 were women (79,1%), 9 – men (20,9%), age of patients ranged 44 to 84 years. Severity of clinical symptoms at onset of treatment varied from 1 to 3 points, mean score was 2,11 points (М0=2 points). Extent of inflammatory changes (according to abdominal US or CT with estimation in relation to sigmoid colon axis) varied from 5 to 8 cm, mean – 6,2 cm (М0=6 cm), thickness of muscular layer – from 2 to 5 mm (mean – 2,7 mm, М0=2,5 mm). The control group included 40 patients, who received no rifaximin at conservative treatment. Of all patients 32 were women (80,0%), 8 – men (20,0%), age of patients ranged from 32 to 74 years (mean — 60,9 years, М0=60 years). Severity of clinical symptoms at beginning of treatment varied from 1 to 3 points, 2,18 points mean (М0=2 points). Extent of inflammatory changes varied from 5 to 8 cm, mean – 6,8 cm (М0=6 cm), thickness of muscular layer – from 2 to 5 mm (mean – 2,6 mm, М0=2,5 mm).Results. At the end of 2nd day of treatment intensity of symptoms in main group was 1,55 points, in the control group – 1,69 points (р=0,12). According to US data, no changes in both groups were observed. At the 14th day intensity of clinical symptoms in the main group was 0,26 points (in the control group – 0,71 points; р=0,09). According to results of US in 31 patients of the main group (72,1%) and in 28 controls (70,0%) signs of active inflammation were absent.Conclusions. Rifaximin – is an effective drug for complex conservative treatment of the chronic relapsing diverticulitis, that allows significantly to reduce terms for achievement of complete clinical response.https://www.gastro-j.ru/jour/article/view/1282chronic diverticulitisrifaximin
spellingShingle S. I. Achkasov
A. I. Moskalyov
Yu. L. Trubachyova
A. F. Filon
Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
chronic diverticulitis
rifaximin
title Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
title_full Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
title_fullStr Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
title_full_unstemmed Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
title_short Efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
title_sort efficacy of rifaximin in the treatment of chronic relapsing diverticulitis
topic chronic diverticulitis
rifaximin
url https://www.gastro-j.ru/jour/article/view/1282
work_keys_str_mv AT siachkasov efficacyofrifaximininthetreatmentofchronicrelapsingdiverticulitis
AT aimoskalyov efficacyofrifaximininthetreatmentofchronicrelapsingdiverticulitis
AT yultrubachyova efficacyofrifaximininthetreatmentofchronicrelapsingdiverticulitis
AT affilon efficacyofrifaximininthetreatmentofchronicrelapsingdiverticulitis