METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY
Despite the relative decline in the incidence of cancer in Russia, stomach cancer continues to occupy the sixth place in the structure of cancer mortality. The surgical method is the main one in treatment, most often a gastrectomy with enlarged lymphodissection (D2) is performed. There remains the q...
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2019-02-01
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| Series: | Инновационная медицина Кубани |
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| Online Access: | https://inovmed.elpub.ru/jour/article/view/99 |
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| author | A. G. Baryshev V. A. Porhanov A. Y. Popov A. N. Lishenko N. V. Hachaturyan D. A. Valyakis M. V. Bodnya Yu. V. Efremenko |
| author_facet | A. G. Baryshev V. A. Porhanov A. Y. Popov A. N. Lishenko N. V. Hachaturyan D. A. Valyakis M. V. Bodnya Yu. V. Efremenko |
| author_sort | A. G. Baryshev |
| collection | DOAJ |
| description | Despite the relative decline in the incidence of cancer in Russia, stomach cancer continues to occupy the sixth place in the structure of cancer mortality. The surgical method is the main one in treatment, most often a gastrectomy with enlarged lymphodissection (D2) is performed. There remains the question of which method of digestive system reconstruction after gastrectomy that will provide a good quality of life and social rehabilitation of patients. Loop esophagoenteroanastomosis with intestinal system is the most simple option to restore the digestive system in which the passage of food off the duodenum, which in some patients leads to disruption of metabolic processes and development postgastrectomy functional disorders. To reduce the frequency of these problems using the recovery after gastrectomy physiological passage of food through the duodenum.Objective. To study the characteristics of protein and carbohydrate metabolism in patients after gastrectomy and petilium option esophagoenteroanastomosis and reservoir enogastronomici with redoutensale.Material and Methods. Using samples with a double load Staube–Traugott, hyperglycemic coefficient Bowden, determining the level of total blood protein and albumin-globulin ratio, were studied peculiarities of metabolic processes after gastrectomy in 25 patients, digestive system that was restored loop method esophageal-intestinal anastomosis and in 23 patients – enogastronomici.Results. It was established an advantage in the recovery of protein and carbohydrate metabolism in the group of patients with a reservoir enogastronomico after 3 months after surgery. Tank possible small bowel transplant, replacement remote stomach and the reconstruction of the duodenal passage is allowed to eat more food in single dose (530 ± 80 ml) than after loop reconstruction method (380 ± 50 ml).Conclusion. The best characteristics of protein and carbohydrate metabolism, as well as a good reservoir function of the proposed method gastric replacement with small intestine can achieve the optimum recovery of metabolic processes and to improve the quality of life of patients after gastrectomy. |
| format | Article |
| id | doaj-art-86a25986bf564b0eb229452d29b4d8a0 |
| institution | OA Journals |
| issn | 2500-0268 2541-9897 |
| language | English |
| publishDate | 2019-02-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
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| series | Инновационная медицина Кубани |
| spelling | doaj-art-86a25986bf564b0eb229452d29b4d8a02025-08-20T01:58:16ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2500-02682541-98972019-02-018461199METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMYA. G. Baryshev0V. A. Porhanov1A. Y. Popov2A. N. Lishenko3N. V. Hachaturyan4D. A. Valyakis5M. V. Bodnya6Yu. V. Efremenko7Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian FederationKuban State Medical University, Ministry of Health of the Russian FederationKuban State Medical University, Ministry of Health of the Russian FederationDespite the relative decline in the incidence of cancer in Russia, stomach cancer continues to occupy the sixth place in the structure of cancer mortality. The surgical method is the main one in treatment, most often a gastrectomy with enlarged lymphodissection (D2) is performed. There remains the question of which method of digestive system reconstruction after gastrectomy that will provide a good quality of life and social rehabilitation of patients. Loop esophagoenteroanastomosis with intestinal system is the most simple option to restore the digestive system in which the passage of food off the duodenum, which in some patients leads to disruption of metabolic processes and development postgastrectomy functional disorders. To reduce the frequency of these problems using the recovery after gastrectomy physiological passage of food through the duodenum.Objective. To study the characteristics of protein and carbohydrate metabolism in patients after gastrectomy and petilium option esophagoenteroanastomosis and reservoir enogastronomici with redoutensale.Material and Methods. Using samples with a double load Staube–Traugott, hyperglycemic coefficient Bowden, determining the level of total blood protein and albumin-globulin ratio, were studied peculiarities of metabolic processes after gastrectomy in 25 patients, digestive system that was restored loop method esophageal-intestinal anastomosis and in 23 patients – enogastronomici.Results. It was established an advantage in the recovery of protein and carbohydrate metabolism in the group of patients with a reservoir enogastronomico after 3 months after surgery. Tank possible small bowel transplant, replacement remote stomach and the reconstruction of the duodenal passage is allowed to eat more food in single dose (530 ± 80 ml) than after loop reconstruction method (380 ± 50 ml).Conclusion. The best characteristics of protein and carbohydrate metabolism, as well as a good reservoir function of the proposed method gastric replacement with small intestine can achieve the optimum recovery of metabolic processes and to improve the quality of life of patients after gastrectomy.https://inovmed.elpub.ru/jour/article/view/99gastric cancergastrectomygastric replacement with small intestineprotein and carbohydrate metabolism |
| spellingShingle | A. G. Baryshev V. A. Porhanov A. Y. Popov A. N. Lishenko N. V. Hachaturyan D. A. Valyakis M. V. Bodnya Yu. V. Efremenko METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY Инновационная медицина Кубани gastric cancer gastrectomy gastric replacement with small intestine protein and carbohydrate metabolism |
| title | METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY |
| title_full | METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY |
| title_fullStr | METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY |
| title_full_unstemmed | METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY |
| title_short | METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY |
| title_sort | metabolism in various embodiments the recovery of the digestive system in patients after gastrectomy |
| topic | gastric cancer gastrectomy gastric replacement with small intestine protein and carbohydrate metabolism |
| url | https://inovmed.elpub.ru/jour/article/view/99 |
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