Features of compensatory processes of the duodenum in obturative cholestasus in combination with decompression of the biliary pathways and enterosorption
DOI:
https://doi.org/10.11603/2414-4533.2021.1.12019Keywords:
obstructive cholestasis, duodenum, endogenous intoxication, sorbentAbstract
The aim of the work: to evaluate the effectiveness of the use of enterosbent in combination with cold stochaestostomy and their impact on functional changes in the duodenum in obstructive cholestasis.
Materials and Methods. The peculiarities of the compensatory processes of the duodenum in long-term obstructive cholestasis, which was modeled by ligation of the common bile duct, were studied. Changes in biochemical parameters in the serum of pigs at 3, 7, 14 and 28 days of simulated obstructive cholestasis were analyzed.
Results and Discussion. Studies have shown that the combination of choledochoduodenostomy with enterosorption in a week after correction of 28-day mechanical jaundice significantly reduces endogenous intoxication, lipid peroxidation, increases antioxidant protection of organs and the body, improves pigment metabolism and liver function. Under these experimental conditions, catalase activity is normalized within 14 to 28 days of the start of the experiment.
References
Belyayev, A.N., Belyayev, S.A., Kostin, S.V., Tyurina, N.A., & Boyarkin, Ye.V. (2018). Endogennaya intoksikatsiya pri mekhanicheskoy zheltukhe i vozmozhnosti yeye patogeneticheskoy korrektsii [Endogenous intoxication in mechanical joundice and the possibility of its pathogenetic correction]. Eksperimentalnaya i klinicheskaya gastroenterologiya – Experimental and Clinical Gastroenterology, 157 (9), 101-106. DOI: 10.31146/1682-8658-ecg157-9-101-106 [in Russian].
Pylypchuk, V.I. (2016). Varianty operatsiinykh vtruchan na zhovchovyvidnykh protokakh pry khronichnomu pankreatyti z oznakamy biliarnoi hipertenzii [Possible surgeries on bile ducts in cases of chronic pancreatitis with signs of biliary hypertension]. Shpytalna khirurhiia. Zhurnal imeni L.Ya. Kovalchuka – Hospital Surgery. Journal named by L.Ya. Kovalchuk, 2, 27-31. DOI: https://doi.org/10.11603/2414-4533.2016.2.6406 [in Ukrainian].
Sobazstiano, P., & di Molat, F. (2013). Pathophysiology of chronic damage. Acute and Chronic Pancreatitis. Turin: Editioni Minerva modica.
Patent UA78273, MPK G 09B23/28(2006/01). Sposib modeliuvannia mekhanichnoi zhovtianytsi [A method for modeling mechanical jaundice]. M.S. Hnatiuk – No U201211327; zaiavl. 01.10.2012; оpubl.11.03.2013, Bull. No. 5 [in Ukrainian].
Vlasov, A.P., Zaitsev, P.P., Bolotskikh, V.A., Vlasova, T.I., Davydkin, V.I., Sheyranov, N.S., & Okunev, N.A. (2018). Vozmozhnosti indutsirovaniya reparatsii tkaney pri mekhanicheskoy zheltukhe neopukholevogo proiskhozhdeniya [Рossibilities of tissue repair induction during mechanical jaundice of non-tumor genesis]. Khirurgiya. Zhurnal im. N.I. Pirogova – Surgery. Journal named after N.I. Pyrogov, 12, 57-64. DOI: https://doi.org/10.17116/hirurgia201812157 [in Russian].
Bahrii, M.M., Dibrova, V.A., Popadynets, O.H., & Hrychuk, M.I. (2008). Metodyka morfolohichnykh doslidzhen [Methods of morphological studies]. Vinnytsia: Nova-Knyha [in Ukrainian].
Hnatiuk, M.S., Tatarchuk, L.V., & Hrabchak, S.O. (2016). Osoblyvosti strukturnoi perebudovy sudyn hemomikrotsyrkulyatornoho rusla dvanadtsiatypaloi kyshky pry obturatsiinomu kholestazi [Peculiarities of structural reconstruction of microhemocirculatory bed vessels of duodenum at the obturative cholestasis]. Zdobutky klinichnoi i eksperymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 4, 36-40. DOI: https://doi.org/10.11603/1811-2471.2016.v0.i4.7073 [in Ukrainian].
Horalskyi, L.P., Harhula, T.I., & Hnatiuk, M.S. (2012). Strukturna perebudova hemomikrotsyrkuliatornoho rusla dvanadtsiatypaloi kyshky pry perebihu yii vyrazky v umovakh dii khimichnoho faktora [Structural restructuring of the hemomicrocirculatory tract of the duodenum during the course of its ulcer under conditions of chemical factor]. Zdobutky klinichnoi i eksperymentalnoi medytsyny – Achievements of Clinical and Experimental Medicine, 2 (17), 39-42 [in Ukrainian].
Dzyubanovskyi, O.I., & Hudyma, A.A. (2017). Vplyv dekompresii zhovchovyvidnykh shliakhiv na dynamiku protsesiv zhovchoutvorennia i zhovchovydilennia pislia eksperymentalnoho kholestazu riznoi tryvalosti [Impact of the biliary ducts decompression on dynamics of bile production and bile excretion after experimental cholestasis of different duration]. Klinichna khirurhiia – Clinical Surgery, 10, 66-69. DOI: https://doi.org/10.26779/2522-1396.2017.10.66 [in Ukrainian].
Kashaeva, M.D., Proshin, A.V., Golushko, A.V., & Gavrilova, K.V. (2020). Dinamika pokazateley gomeostaza u bol'nykh s mekhanicheskoy zheltukhoy neopukholevoy etiologii [Dynamics of indicators of homeostasis in patients with mechanical jaundy nontumorous ethiology]. Mediko-farmatsevticheskiy zhurnal “Puls” – Medical & Pharmaceutical Journal “Pulse”, 22, 2, 42-48. DOI: http://dx.doi.org/10.26787/nydha-2686-6838-2020-22-2-42-48 [in Russian].
Kravets, V.V. (2008). Morfolohichni zminy u tonkii kyshtsi pid vplyvom riznykh endohennykh ta ekzohennykh chynnykiv (ohliad literatury) [Morphological changes in the small intestine under the influence of various endogenous and exogenous factors (literature review)]. Visnyk Sumskoho derzh. un-tu. Ser. “Medytsyna” – Bulletin of the Sumy State University. Ser. “Medicine”, 1, 5-16 [in Ukrainian].
Shiff, Yu.R., Sorrel, M.F., & Meddrey, U.S. (2010). Bolezni pecheni po Shiffu. Virusnyye gepatity i kholestaticheskiye zabolevaniya: rukovodstvo [Diseases baked according to Schiff. Viral hepatitis and cholestatic diseases: a guide]. Ivashkin, V.T. (Ed.). Moscow: GEOTAR-Media [in Russian].
Yemelyanov, S.I., Briskin, B.S., Demidov, D.A., & Demidova, T.I. (2010). Vozmozhnosti yenterosorbtsii i yevolyutsiya yenterosorbentov dlya lecheniya khirurgicheskogo yendotoksikoza [Possibilities of enterosorption and evolution of enterosorbents for the treatment of surgical endotoxicosis]. Ekperim. i klinich. gastroenterologiya – Experimental and Clinical Gastroenterology, 11, 84-89 [in Russian].
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