[Enteral insufficiency syndrome in acute ileus and ways for its correction].
Based on experimental investigations in 26 mongrel dogs, we established that due to acute ileus (AI) proximal and distal regions of small intestine are colonized by pathogenic aerobic and anaerobic microorganisms, which causes occurrence of enteral insufficiency syndrome (EIS). Absorption of microorganisms and their toxins through intestinal wall leads to bacteriemia, endotoxemia and morphological insufficiency of parenchymatous organs. The results of treatment of 486 patients with AI of different etiology are studied. Based on clinical and diagnostical changes 4 stages of EIS are separated. The rate of post-operative complications depends on severity of EIS. When treating the patients with AI the severity of EIS should be taken into consideration. Specific pre-operative preparation, the relevant technology of surgical intervention and post-operative treatment should be used differently at every stage of the disease.
Saienko
V F
VF
Kobza
I I
II
Kutsyk
Iu B
IuB
Lavryk
A S
AS
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000990:Antithrombin III / Q000378:metabolism; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004285:Dogs; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis / Q000378:metabolism / Q000503:physiopathology; D007415:Intestinal Obstruction / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged
D000990:Antithrombin III