title: [Reduction of severity of endogenous intoxication in patients with choledocholithiasis under the influence of the probe enteral nutrition].
abstract: Results of study of the endogenous intoxication severity (EI) in 107 patients for choledocholithiasis (CL) were presented. In complex of treatment the probe enteral nutrition (PEN) was applied. Diagnosis of EI according to cellular indexes of intoxication and the peptides level of the average molecular mass (PAMM) in blood for wavelengths 254 and 280 nm was conducted. There was established, that leukocytic index of intoxication, calculated according to formula Himich-Kostyuchenko, have strong correlational causation with index of PAMM and may be applied for diagnosis and control of efficacy of the EI correction in patients with CL. PEN with application of oligopeptide mixture "Peptamen" (Nestle) had promoted effective correction of EI, what have allowed to lower frequency of postoperative complications by 11% and to shorten the treatment duration of patients after operation by 4 days.
authors.forename: O V
authors.initials: OV
authors.lastname: Kosyn'skyĭ
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D042883:Choledocholithiasis / Q000378:metabolism / Q000601:surgery; D002768:Choledochostomy; D019446:Endotoxemia / Q000097:blood / Q000378:metabolism*; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D006801:Humans; D007962:Leukocytes / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index
vernacular_title: Zmenshennia tiazhkosti endohennoï intoksykatsiï u khvorykh na kholedokholitiaz pid vplyvom enteral'noho zondovoho kharchuvannia.