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CURRENT ISSUE

№3' 2020

SURGERY

International Medical Journal, Vol. 26., Iss. 3, 2020, P. 14−17.


DOI (https://doi.org/10.37436/2308-5274-2020-3-3)

USE OF ENTEROSORPTION TO PREVENT ENDOTOXEMIA IN ACUTE INTESTINAL OBSTRUCTION


Valerii Volodymyrovych Boiko, Viktor Nikolaevich Lykhman, Александр Николаевич Shevchenko, Andrei Alekseevich Merkulov, Sergei Valerevich Tkach, Myroshnychenko D. O., Igor Vladimirovich Volchenko, Bilodid Ye. O., Yatsko K. M., Gordienko P. O.

V. T. Zaitsev Institute of General and Emergency Surgery, National Academy of Medical Sciences of Ukraine, Kharkiv, Ukraine
Kharkiv National Medical University
Kharkiv Medical Academy of Postgraduate Education

The relevance of studying the measures to prevent the development of endotoxemia in acute intestinal obstruction is stipulated with an increasing incidence of multiple organ failure in debilitated patients and infectious−toxic shock. The development of endotoxemia is often accompanied with a secondary infection. Toxic effects of bacteria in small intestine, the trigger of which is their translocation and transformation of the small intestine into a focus of microbial invasion, prolongs the postoperative period, which increases the length of stay in the surgical hospital. Much attention is paid to the pathogenesis of the development of small bowel contamination syndrome, which results in changes in intestinal biocenosis and increased intoxication of the body, which worsens the patient general condition. To examine the results of entersorption as a method of detoxification and control of infectious and toxic complications in the patients with an acute intestinal obstruction before surgery to optimize surgical tactics and prevent post−surgery complications, a study was conducted in 36 patients with different stages of the disease. The effectiveness of detoxification in the combined treatment of an acute intestinal obstruction has been confirmed, which is indicated by the reduced pain, regression of radiological signs of obstruction in the patients and early normalization of their main clinical, laboratory and instrumental parameters. The use of the method of enterosorption as part of a comprehensive approach in the period after surgery contributed to the early restoration of intestinal motility, reducing the number of complications, improving the general condition of patients. Thus, the method of enterosorption is one of the most effective of modern detoxification methods, which determines its relevance and further prospects to study this problem.

Key words: acute intestinal obstruction, endotoxemia, enterosorption.


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