Study of the features of bacterial translocation in the complex postoperative treatment of patients with acute decompensated adhesive small intestinal Obstruction
DOI:
https://doi.org/10.11603/2414-4533.2021.2.12303Keywords:
acute adhesive intestinal obstruction, bacterial translocation, NGI probeAbstract
The aim of the work: to study the level and dynamics of bacterial translocation in patients with acute adhesive intestinal obstruction operated in the stage of decompensation.
Materials and Methods. 69 patients with acute adhesive small bowel obstruction in the decompensation stage were examined and operated on. In order to study the level of bacterial translocation, bacterial swab tests of secretions from drainages and nasogastrointestinal (NGI) probe were performed in the dynamics of treatment in the postoperative period.
Results and Discussion. The quantitative and qualitative composition of the small intestinal microflora and peritoneal exudate under the influence of complex treatment with intestinal lavage with 0.9 % sodium chloride solution in combination with oxygen therapy and enteral nutrition with “Peptamen” solution in patients with acute adhesive intestinal obstruction in the stage decompensation. Less colonization of the intestine and contamination of the abdominal cavity with Escherichia coli, opportunistic pathogens and faster recovery of the biocenosis of the small intestine using the developed set of measures allowed reducing the level of postoperative complications and mortality.
References
Boiko, V.V., Pak, V.Ya., & Mykytyn, V.Z. (2018). Pisliaoperatsiine likuvannia khvorykh na hostru spaikovu kyshkovu neprokhidnist [Postoperative treatment of patients with acute adhesive intestinal obstruction]. Kharkivska khirurhichna shkola – Kharkiv Surgical School, 1 (88), 74-78 [in Ukrainian].
Polovyi, V.P., Railianu, S.I., Karliichuk, O.O., Palianytsia, A.S., Filipets, O.I., & Stupnytskyi, V.V. (2018). Dekompresiia tonkoi kyshky v khirurhichnomu likuvanni khvorykh iz syndromom enteralnoi nedostatnosti [Decompression of the small intestine in the surgical treatment of patients with syndrome of enteral insufficiency]. Kharkivska khirurhichna shkola – Kharkiv Surgical School, 1 (88), 139-143 [in Ukrainian].
Gabrielli, M., Dangelo, G., Dirienzo, T., Scarpellini, E., & Ojetti, V. (2013). Diagnosis of small intestinal bacterial overgrowth in the clinical practice. European Review for Medical and Pharmacological Sciences, 17 (Suppl. 2), 30-35.
Boyko, V.V., Taraban, I.A., & Evtushenko, D.A. (2014). Sovremennoe sostoyanie voprosa ostroy spaechnoy kishechnoy neprohodimosti [The current state of the issue of acute adhesive intestinal obstruction] Kharkivska khirurhichna shkola – Kharkiv Surgical School, 1, 87-90 [in Russian].
Dayton, M.T., Dempsey, D.T., Larson, G.M., & Posner, A.R. (2012). New paradigms in the treatment of small bowel obstruction. Curr. Probl. Surg, 49 (11), 642-717.
Gabrielli, M., Dangelo, G., Dirienzo, T., Scarpellini, E., & Ojetti, V. (2013). Diagnosis of small intestinal bacterial overgrowth in the clinical practice. European Review for Medical and Pharmacological Sciences. 17 (Suppl. 2), 30-35.
Chang Hwan Choi, & Sae Kyung Chang (2016). The role of small intestinal overgrowth in functional gastrointestinal disorders. Journal of Neurogastroenterology and Motility, 22, 3-5.
Hrytsenko, Ye.M., Bariichuk, V.S., & Hrytsenko, M.I. (2008). Ultrazvukova diahnostyka syndromu enteralnoi nedostatnosti pry hostrii khirurhichnii patolohii orhaniv cherevnoi porozhnyny u ditei [Ultrasound diagnosis of enteric insufficiency syndrome in acute surgical pathology of the abdominal cavity in children]. Materialy 3-ho Konhresu Ukrainskoi asotsiatsii spetsialistiv ultrazvukovoi diahnostyky – Proceedings of the 3rd Congress of the Ukrainian Association of Ultrasound Diagnostics, Odesa [in Ukrainian].
Bodiaka, V.Yu. (2012). Vplyv vnutrishnocherevnoi hipertenzii na osoblyvosti bakterialnoi translokatsii pislia modeliuvannia ta khirurhichnoho likuvannia hostroi kyshkovoi neprokhidnosti [Influence of intra-abdominal hypertension on features of bacterial translocation after modeling and surgical treatment of acute intestinal obstruction]. Ukrainskyi zhurnal khirurhii – Ukrainian Journal of Surgery, 4 (19), 96-100 [in Ukrainian].
Lihonenko, O.V., Dihtiar, I.I., & Lihonenko, O.O. (2011). Rannia biolohichna enteralna terapiia u kompleksnomu likuvanni khvorykh na hostru kyshkovu neprokhidnist [Early biological enteral therapy in the complex treatment of patients with acute intestinal obstruction]. Shpytalna khirurhiia – Hospital Surgery, 3, 26-29 [in Ukrainian].
Menshikov, V.V. (2009). Metodiki klinicheskih laboratornyh issledovaniy. T. 3. Klinicheskaya mikrobiologiya: spravochnoe posobie [Clinical laboratory research methods. T. 3. Clinical microbiology: a reference manual]. Moscow: Labora [in Russian].
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Hospital Surgery. Journal named by L.Ya. Kovalchuk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
