Ключевые слова: энтеральная недостаточность, ранний послеоперационный период, острое желудочно–кишечное кровотечение, перитонит, всасывательная функция тонкой кишки, биоэлектрическая активность тонкой кишки, липиды.
ABSTRACTS
Gai Ye. Yu. Enteral insufficiency in early postoperative period in patients with the acute surgical pathology of the abdominal cavity organs. – Manuscript.
The thesis for the competition for the candidate of medical science degree in specialty 14.01.30. – Anesthesiology and Intensive Care. – P.L. Shupyk National Medical Academy of Post–Graduate Education of Ministry of Health of Ukraine, Kiev, 2008.
The thesis is devoted to the investigation of the enteral insufficiency and enteral tube feeding apply possibility in early postoperative period after the operations on the digestive tract also it’s devoted to the analysis of the proteins and lipids metabolism under the impact of the postoperative stress.
Clinical, laboratory, biochemical, electric physiological, instrumental and statistical methods were used for the study.
Patients, operated because of acute gastrointestinal bleeding or peritonitis, are investigated in the present research. Small intestine’s absorptive function with the most decreased absorptive areas and its bioelectrical activity is valuated in patients with the different severity state in early postoperative period. The dynamics of the normalization of the malfunctions is shown. By the obtained results it is concluded that the early tube feeding (during the first 3 days after the operation) in groups with presented pathology is inexpedient.
The dependence between the bioelectrical activity’s changes and the severity of the early postoperative period is detected.
During the stressful starvation in patients, operated in case of gastrointestinal bleeding as because of peritonitis blood containing of common lipids, cholesterol, low density lipoproteins decreases certainly and it’s interrelates to the severity of the early postoperative period. Low triglycerides and lipoproteins high density blood concentration has the prognostic value and is a proof the grave conditions of the patient’s health state.
Key words: enteral insufficiency, early postoperative period, acute gastrointestinal bleeding, peritonitis, small intestine absorptive function, small intestine bioelectrical activity, lipids.