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.
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