title: [Effects of total lavage of the gastrointestinal tract on the regulatory mechanisms of water-electrolyte metabolism in patients who had undergone colon surgery].
abstract: The main parameters of homeostasis in total lavage of the gastrointestinal tract with isotonic solution (osmolality of 290 mosm/l) were studied in 85 patients. It was revealed that lavage facilitates increase of the volume of circulating blood by more than 10%. Prolonged (over 6 hours) operative intervention and severe blood loss (20% of the circulating volume) which call for the conduction of infusion-transfusion therapy during lavage lead to considerable water loading of the patient's organism. Initial hypoalbuminemia and hypokalemia in the patients should be considered a relative contraindication for total lavage of the gastrointestinal tract with an isotonic solution.
authors.forename: V I
authors.initials: VI
authors.lastname: Smirnova
authors.forename: V S
authors.initials: VS
authors.lastname: Chechin
authors.forename: A S
authors.initials: AS
authors.lastname: Akopian
mesh_terms: D000328:Adult; D000368:Aged; D003106:Colon / Q000601:surgery*; D004064:Digestive System; D005260:Female; D006801:Humans; D007552:Isotonic Solutions; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D007507:Therapeutic Irrigation / Q000009:adverse effects; D014882:Water-Electrolyte Balance
chemical_list: D007552:Isotonic Solutions
vernacular_title: Vliianie total'nogo promyvaniia zheludochno-kichechnogo trakta na nekotorye reguliatornye mekhanizmy vodno-élektrolitnogo obmena u bol'nykh, operirovannykh na obodochnoĭ kishke.