title: [Correction of protein-energy metabolism in elderly patients with acute intestinal obstruction and hepatorenal dysfunction].
abstract: Infringements of a protein-energetic metabolism in hepatorenal complications are an actual problem in urgent surgery.
  
  
  METHODS
  358 patients with a acute surgical pathology of intestines were analysed, in 27.4% of patients infringements of functions of a liver and kidneys were revealed, necessity for normalization of the protein-energetic metabolism was noted in 47-70% of cases.
  
  
  RESULTS
  As a result the scheme for protein-energetic metabolism correction was specified in depending of a kind of intestinal impassability and a degree of severity of surgical disease. The early correction of a protein-energetic metabolism in complex with the extracorporeal support methods of a detoxication has provided the expressed positive clinical effect.
authors.forename: M V
authors.initials: MV
authors.lastname: Kostiuchenko
mesh_terms: D000368:Aged; D004734:Energy Metabolism; D006530:Hepatorenal Syndrome / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000378:metabolism / Q000601:surgery*; D010288:Parenteral Nutrition / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D011506:Proteins / Q000378:metabolism*; D016060:Sorption Detoxification / Q000379:methods*
chemical_list: D011506:Proteins