Options of conservative treatment at acute adhesive smallintestinal obstruction
Aim of investigation. Improvement of management approach of patients with acute smallintestinal adhesive obstruction (ASIAO) based on choice of method and duration of conservative obstruction treatment.Material and methods. The study group included 516 patients with obturation form of ASIAO without...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2013-10-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/1229 |
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| author | S. G. Shapovalyants S. Ye. Larichev M. Ye. Timofeyev I. V. Babkova Z. A. Zhemukhova O. I. Seryogina |
| author_facet | S. G. Shapovalyants S. Ye. Larichev M. Ye. Timofeyev I. V. Babkova Z. A. Zhemukhova O. I. Seryogina |
| author_sort | S. G. Shapovalyants |
| collection | DOAJ |
| description | Aim of investigation. Improvement of management approach of patients with acute smallintestinal adhesive obstruction (ASIAO) based on choice of method and duration of conservative obstruction treatment.Material and methods. The study group included 516 patients with obturation form of ASIAO without indications for emergency surgery, who underwent conservative treatment. In 188 patients endoscopic nasointestinal decompression of gastro-intestinal tract was carried out. Due to inefficiency of therapy 269 patients were operated urgently. Original method of treatment efficacy prediction was developed in the clinic. Groups with low, medium and high probability of obstruction resolution were defined.Results. The group with resolved obturation ASIAO (n=247) average duration of conservative treatment was 11,4±4,8 h. In 92 patients results of conservative treatment prediction were determined at ASIAO (forecast effectiveness was 98,9%).Conclusions. The differentiated approach to choice of conservative actions and improvement of its terms have allowed to increase treatment response rate of obturation ASIAO to 66,3% and to decrease mortality to 2,2%. |
| format | Article |
| id | doaj-art-2bd68c8bf1bb4333818fb9e6ebca0cca |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2013-10-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-2bd68c8bf1bb4333818fb9e6ebca0cca2025-02-10T16:14:33ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732013-10-012352531811Options of conservative treatment at acute adhesive smallintestinal obstructionS. G. Shapovalyants0S. Ye. Larichev1M. Ye. Timofeyev2I. V. Babkova3Z. A. Zhemukhova4O. I. Seryogina5State educational government-financed institution of higher professional education «Pirogov Russian National Research Medical University» (RNRMU) Ministry of healthcare of RussiaГБОУ ВПО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииState educational government-financed institution of higher professional education «Pirogov Russian National Research Medical University» (RNRMU) Ministry of healthcare of RussiaState educational government-financed institution of higher professional education «Pirogov Russian National Research Medical University» (RNRMU) Ministry of healthcare of RussiaState educational government-financed institution of higher professional education «Pirogov Russian National Research Medical University» (RNRMU) Ministry of healthcare of RussiaState educational government-financed institution of higher professional education «Pirogov Russian National Research Medical University» (RNRMU) Ministry of healthcare of RussiaAim of investigation. Improvement of management approach of patients with acute smallintestinal adhesive obstruction (ASIAO) based on choice of method and duration of conservative obstruction treatment.Material and methods. The study group included 516 patients with obturation form of ASIAO without indications for emergency surgery, who underwent conservative treatment. In 188 patients endoscopic nasointestinal decompression of gastro-intestinal tract was carried out. Due to inefficiency of therapy 269 patients were operated urgently. Original method of treatment efficacy prediction was developed in the clinic. Groups with low, medium and high probability of obstruction resolution were defined.Results. The group with resolved obturation ASIAO (n=247) average duration of conservative treatment was 11,4±4,8 h. In 92 patients results of conservative treatment prediction were determined at ASIAO (forecast effectiveness was 98,9%).Conclusions. The differentiated approach to choice of conservative actions and improvement of its terms have allowed to increase treatment response rate of obturation ASIAO to 66,3% and to decrease mortality to 2,2%.https://www.gastro-j.ru/jour/article/view/1229acute adhesive smallintestinal obstructionendoscopic nasointestinal decompressionprognostic factor |
| spellingShingle | S. G. Shapovalyants S. Ye. Larichev M. Ye. Timofeyev I. V. Babkova Z. A. Zhemukhova O. I. Seryogina Options of conservative treatment at acute adhesive smallintestinal obstruction Российский журнал гастроэнтерологии, гепатологии, колопроктологии acute adhesive smallintestinal obstruction endoscopic nasointestinal decompression prognostic factor |
| title | Options of conservative treatment at acute adhesive smallintestinal obstruction |
| title_full | Options of conservative treatment at acute adhesive smallintestinal obstruction |
| title_fullStr | Options of conservative treatment at acute adhesive smallintestinal obstruction |
| title_full_unstemmed | Options of conservative treatment at acute adhesive smallintestinal obstruction |
| title_short | Options of conservative treatment at acute adhesive smallintestinal obstruction |
| title_sort | options of conservative treatment at acute adhesive smallintestinal obstruction |
| topic | acute adhesive smallintestinal obstruction endoscopic nasointestinal decompression prognostic factor |
| url | https://www.gastro-j.ru/jour/article/view/1229 |
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