Фактори ризику неспроможності колоректальних анастомозів при обтураційній непрохідності (огляд літератури)

  • S. I. Hrytsenko Тернопільський національний медичний університет імені І. Я. Горбачевського МОЗ України
Ключові слова: неспроможність швів анастомозу, перитоніт, обтураційна кишкова непрохідність

Анотація

Неспроможність швів анастомозу (НША) являється фатальним ускладненням обтураційної товстокишкової непрохідності та є однією з найголовніших проблем ургентної хірургії. Частота виникнення НША має поліетіологічну природу та залежить від рівня й умов його накладання. Неспроможність швів анастомозу є більш вірогідна після виконання передньої резекції прямої кишки, ніж при резекції ободової кишки. Загальними факторами ризику НША є системні порушення макроорганізму, які здатні порушити перебіг репаративних процесів в області анастомозу. Адекватне кровопостачання зони анастомозу служить обов’язковою та першочерговою умовою накладання анастомозу, при порушенні місцевого кровообігу можливе виникнення ішемічного некрозу кишки, порушення кровообігу в зоні анастомозу являється основним патогенетичним фактором виникнення НША. Одним із найбільш прогностично несприятливих факторів у лікуванні пацієнтів із НША є питання антибіотикорезистентності, котра в даної категорії пацієнтів різко зростає.

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Опубліковано
2019-10-28
Як цитувати
Hrytsenko, S. I. (2019). Фактори ризику неспроможності колоректальних анастомозів при обтураційній непрохідності (огляд літератури) . Шпитальна хірургія. Журнал імені Л. Я. Ковальчука, (3), 97-105. https://doi.org/10.11603/2414-4533.2019.3.10390
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