[Blood coagulation disorders of circulation in the transplant and their prevention in small intestine esophagoplasty].
An analysis of 158 completed esophagoplastics has shown that necroses of the transplant made their appearance in 7.8% of cases, fistulas of anastomoses--in 38%. The basis of pathogenesis of these complications is microthromboses of venules and small veins of the intramural blood circulation of the mobilized small intestine transplant (syndrome of local hypercoagulation). The novocain-heparin blockade and postoperative antiaggregation infusion therapy is an effective method for prevention of intestinal necroses in the postoperative period.
Belousov
E V
EV
Zadorozhnyĭ
A A
AA
Baĭdala
P G
PG
Tun
V G
VG
Bashirova
L V
LV
D000818:Animals; D001777:Blood Coagulation; D004285:Dogs; D004944:Esophagoplasty; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply / Q000473:pathology / Q000637:transplantation*; D009336:Necrosis; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D011300:Preoperative Care
Koaguliatsionnye rasstroĭstva krovoobrashcheniia v transplantate i ikh profilaktika pri tonkokishechnoĭ ézofagoplastike.