PECULIARITIES OF ENTERAL INSUFFICIENCY COURSE AGAINST THE BACKGROUND OF ACUTE ABDOMINAL PATHOLOGY

Aim. To assess the peculiarities of enteral insufficiency syndrome at the example of patients with disseminated peritonitis. Materials and methods. The work was based on examination of 98 patients with purulent peritonitis. The severity of enteral insufficiency syndrome (EIS) taking into account peritonitis staging was estimated. Procalcitonin level as a marker of septic process was studied. Results. Among patients with reactive stage of peritonitis, only degrees I and II EIS were found. In patients with the toxic stage of disseminated peritonitis there predominated degree II EIS with the rate of 60,8 % (31 persons); degree III EIS was detected in 14 cases (27,4 %). At the terminal stage of peritonitis, degree III EIS was detected in 80 % of patients and degree II EIS - in 20 %. Blood procalcitonin level exceeded the norm that indicated bacterial nature of intoxication. Conclusions. There is a direct correlation between the enteral insufficiency syndrome and the peritonitis severity; procalcitonin level is closely associated with peritonitis severity and enteral insufficiency.

Enteral insufficiency, peritonitis, endogenous intoxication