Criteria of enteric insufficiency syndrome in victims with abdominal trauma

  • B. O. Matviychuk Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • V. T. Bochar Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • Yu. Y. Golik Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • O. M. Bochar Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • Y. I. Bobilyak Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • O. R. Horoditsky Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • O. Yu. Mizyurko Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • O. R. Feita Danylo Halytsky Lviv National Medical University Lviv, Ukraine
  • O. P. Riling Danylo Halytsky Lviv National Medical University Lviv, Ukraine
Keywords: abdominal trauma, enteric insufficiency syndrome, criteria of enteric insufficiency syndrome

Abstract

The analysis of surgical treatment of 208 victims with isolated abdominal trauma was performed. In 33,2% of them during the first 7 days the occurrence of the syndrome of enteric insufficiency syndrome (SEN) was confirmed, in particular in 14,2% with blunt trauma and in 62,1% with penetrating. The 37 factors of development of SEN were evaluated. The statistically significant criteria for the development of enteric insufficiency syndrome in patients with abdominal trauma during the first 7 days were time from the moment of injury to the operation for more than 12 hours; pancreatic injury; the presence of multiple lesions of both the small and large intestine. Also signs of the development of dynamic bowel obstruction, which manifested in the absence of spontaneous peristalsis of the small intestine and its dilation of more than 4 cm.

References

Кrutko ЕN. Treatment of enteral insufficiency syndrome in victims with traumatic disease. Harkivska hirurgichna shkola. 2008; 1: 73–75.

Мironov АV, Маgomedov МS, Ustinov FS. et al. Intestinal insufficiency syndrome in emergency surgery of the abdominal cavity: on the question of determining the stage of the disease. Medicynskaya nauka i obrazovanie Urala. 2008; 3: 97–98.

Fedoseev АV, Budarev VN, Muravjev SY et al. To the question of the diagnosis of early signs of multiorgan dysfunction in patients with enteral insufficiency syndrome. Vestnyk eksperimentalnoj i klinicheskoj hirurgii. 2012; 5 (1): 60–64.

Lesnoy VV, Lesnay AS, Filonenko VA. (2018) Morphological characteristic of the syndrome of enteral insufficiency in diffuse peritonitis. Harkivska hirurgichna shkola. 2018; 90 (3); 22–26.

Тaha HD, Fedoseev AV, Muraviuv SY, Budarov VN. Enteral insufficiency syndrome in acute pancreatitis patient., Kazanskyj medycynskyj zhurnal. 2015; 96 (4): 489–492.

Shibitov VА, Vlasova ТI, Polozova TI et al. Pathogenetic bases of enteral insufficiency. Fundamental research. 2012; 4: 152–156.

Gain JM, Alekseev SA, Sokolov JA. (2001) Syndrome of enteral insufficiency in peritonitis: theoretical and practical aspects, diagnosis and treatment. Minsk: Molodechno; 2001, 265 p.

Morozov DA, Pimenova ES, Filippov YV et al. Complete traumatic rupture of pancreas with the circular stomach rupture. Detskaya khirurgiya. 2015; 19 (1): 51–53.

Ivanova YY, Kirilina SI, Pervukhin SA et al. Nutritional and enteric inefficiency at complicated trauma of cervical region of vertebral column. Siberian Scientific Medical Journal. 2018; 38 (2): 33–38.

Kunovsky VV. (2013) Prerequisites of enteric failure medicated correction in patients with acute pancreatitis. Annals of Mechnikov Institute. 2013; 3: 34–39.

Siplivyi VA, Hrinchenko SV, Yevtushenko DV et al. Enteral nutrition in surgical patients. Ukrayinskyj zhurnal hirurgiyi. 2011; 3 (12): 50–54.

Wang S, Ma L, Zhuang Y, Zhang X. Screening and risk factors of enteral insufficiency in critically ill adult patients receiving enteral nutrition. Crit Care. 2013; 17 (4): 171. DOI: 10.1186/cc12850.

Laberko LА, Kuznetsov NА, Aronov LS et al. Correction of manifestations of enteral insufficiency syndrome with widespread peritonitis. Khirurgia. 2004;12: 28–32.

Lubianskij VG, Chernenko VF, Aliev АR. Enteral insufficiency syndrome and its correction in the surgical treatment of postoperative peritonitis. Problems of clinical medicine. 2005; 2: 88–92.

Dziubanovskyi IY, Benedykt VV, Mihenko BО. (2010) The role of the small intestine in the development of multiple organ failure in patients with acute peritonitis. Vseukrayinskyj zbirnyk naukovyh robit«Hirurgichna perspektyva». 2010; 1: 160–163.

Published
2019-08-20
How to Cite
Matviychuk, B. O., Bochar, V. T., Golik, Y. Y., Bochar, O. M., Bobilyak, Y. I., Horoditsky, O. R., Mizyurko, O. Y., Feita, O. R., & Riling, O. P. (2019). Criteria of enteric insufficiency syndrome in victims with abdominal trauma. Modern Medical Technology, (2(41), 29-33. https://doi.org/10.34287/MMT.2(41).2019.34