Опубликовать статью

Информационное партнерство

Инфоресурсы

Контакты

«

Vol. 12, Art. 41 (pp. 483-494)    |    2011       

»

Investigation of the motor-evacuation fenction of the gastrointestinal tract in patients with complicated colorectal cancer.

A.M. Belayev, V.M. Luft, O.V. Babkov, A.A. Zacharenko, D.A. Surov, A.A. Domanskii, O.A.Ten, A.A. Trushin, S.A. Kondratsov, D.A. Rudakov, S.A. Ivanitskii, A.V. Lapitskii

Djanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia

Brief summary

During the postoperative period in patients with colorectal cancer complicated by acute intestinal obstruction there is a lesion of the motor-evacuation function of the gastrointestinal tract manifesting with postoperative paresis, which is one of the most common postoperative complications in these patients and leads to a large number of pyoinflammatory complications in the postoperative period and high mortality. The presence of postoperative paresis dictates the need for measures aimed at its correction – in particular, the use of postoperative early enteral therapy and nutritional support as the pathogenetically specified method of prevention of this complication. The developed technique of enteral nutrition takes into account the specifics of this category of patients, their present initial malnutrition, intestinal failure and is to hold early enteral therapy and nutritional support. The registration of myoelectrical activity of the gastrointestinal tract through the indirect electrogastroenterography helps to evaluate the degree the motor-evacuation disorders objectively. Execution of the developed complex of early enteral therapy and nutritional support measures in patients with malignant intestinal obstruction in the postoperative period allows the faster restoration of impaired motor-evacuation function of the gastrointestinal tract.


Key words

colorectal cancer, enteral therapy, nutritional support, postoperative paresis, intestinal obstruction, pyoinflammatory complications, artificial nutritional therapy, myoelectrical activity, electrogastroenterography.

Reference list

1. Belov S.G., Barduk A.Ya. Taktika lecheniya bolnih povishennogo operacionnogo riska pri opyholyah tolstoi kishki, oslojnennih neprohodimostu // Materiali 19 sezda hiryrgov Ykraini. – Harkov, 2000. – S. 117–118.


2. Borie F., Tretarre B., Marchigano E. et al. Management and prognosis of colon cancer in patients with intestinal obstructions or peritonitis: A French population-based study // Med. Sci. Monit. – 2005. – Vol. 11, № 6. – P. CR 266 – CR 273.


3. Davidov M.I., Aksel E.M. Smertnost naseleniya Rossii i stran SNG ot zlokachestvennih novoobrazovanii v 2007 g. // Vest. Ros. onkol. naych. centra RAMN. – 2009. – T. 20, №3, priloj. 1. – S. 99–122.


4. Davidov M.I., Aksel E.M. Zabolevaemost zlokachestvennimi novoobrazovaniyami naseleniya Rossii i stran SNG v 2007 g. // Vest. Ros. onkol. naych. centra RAMN. – 2009. – T. 20, №3, priloj. 1. – S. 52–90.


5. Aliev S.A. Hiryrgicheskaya taktika pri oslojnennom rake sigmovidnoi kishki // Hiryrgiya. – 1999. – №11. – C. 26–30.


6. Byyanov V.M., Maskin S.S. Sovremennoe sostoyanie voprosov diagnostiki, taktiki i metodov hiryrgicheskogo lecheniya tolstokishechnoi neprohodimosti // Annali hiryrgii. – 1999. – №2. – C. 23–31.


7. Mamanov N.A. Optimizaciya hiryrgicheskoi taktiki pri oslojnennih formah raka obodochnoi kishki: Avtoref. dis. ... kand. med. nayk. – Bishkek, 2007. – 22 s.


8. Mihailov A.P., Danilov A.M., Napalkov A.N. i dr. Ostraya opyholevaya neprohodimost obodochnoi kishki y bolnih pojilogo i starcheskogo vozrasta // Vest. hiryrgii. – 2003. – T. 162, №6. – S. 25–28.


9. Mohov E.M., Myradaliev M.A. Osobennosti lecheniya opyholevoi kishechnoi neprohodimosti y bolnih pojilogo i starcheskogo vozrasta. // Mejdynar. hiryrg. kongr. Aktyalnie problemi sovremennoi hiryrgii. – M., 2003. – S. 123.


10. Totikov V.Z., Hestanov A.K., Zyraev K.E. i dr. Hiryrgicheskoe lechenie obtyracionnoi neprohodimosti obodochnoi kishki // Hiryrgiya. – 2001. – №8. – C. 51–54.


11.Udin A.B. Rannyaya enteralnaya terapiya kak element patogeneticheskogo lecheniya bolnih operirovannih po povody ostroi spaechnoi tonkokishechnoi neprohodimosti: Avtoref. dis. … kand. med. nayk. – SPb., 2008. – 19 s.


12. Tisdale M.J. Cachexia in cancer patients // Nat. Rev. Cancer. – 2002. – Vol. 2, № 11. – P. 862–871.


13. Lyft V.M., Kostuchenko A.L., Leiderman I.N. Rykovodstvo po klinicheskomy pitaniu bolnih v intensivnoi medicine. – SPb.; – Ekaterinbyrg,: FartInfo, 2003. – 325 s.

Журнал основан 16 ноября 2000г.
Выдано Министерством РФ по делам печати, телерадиовещания и средств массовых коммуникаций

(c) Перепечатка материалов сайта Medline.Ru возможна только с письменного разрешения редакции