The role of abdominal hypertension in optimizing the treatment of patients with acute intestinal obstruction

Cover Page

Cite item

Full Text

Abstract

The results of examination and treatment of 150 patients with acute intestinal obstruction were studied. A reliable relationship was established between the degree of intra-abdominal hypertension and the severity of the condition of patients with acute intestinal obstruction. The results of our study confirm that monitoring intra-abdominal pressure allows diagnosing acute intestinal obstruction at the initial stages of the disease, determining indications for various modes of operative interventions and the timing of their implementation, predicting the development of possible complications and lethality.

About the authors

N. I. Glushkov

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: yulia299@mail.ru

Department of general surgery

Russian Federation, Saint Petersburg

Yu. A. Pakhmutova

North-Western State Medical University named after I.I. Mechnikov

Email: yulia299@mail.ru

Department of general surgery

Russian Federation, Saint Petersburg

I. I. Belsky

North-Western State Medical University named after I.I. Mechnikov

Email: yulia299@mail.ru

Department of general surgery

Russian Federation, Saint Petersburg

M. G. Safin

North-Western State Medical University named after I.I. Mechnikov

Email: yulia299@mail.ru

Department of general surgery

Russian Federation, Saint Petersburg

M. S. Shchur

North-Western State Medical University named after I.I. Mechnikov

Email: yulia299@mail.ru

Department of general surgery

Russian Federation, Saint Petersburg

References

  1. Переходов С.Н., Милюков В.Е., Телепанов Д.Н. Некоторые аспекты патогенеза полиорганной недостаточности при острой кишечной непроходимости // Хирургия. Журнал имени Н.И. Пирогова. – 2010. – № 6. – С. 70–72. [Perekhodov SN, Miliukov VE, Telepanov DN, Gur’ev GS. Some aspects of pathogenesis of the multiple organ failure by acute bowel obstruction. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2010;(6):70-72. (In Russ.)]
  2. Дибиров М.Д., Родионов И.Е., Какубава М.Р., и др. Коррекция внутрибрюшной гипертензии и микроциркуляции у больных острой кишечной непроходимостью старческого возраста // Московский хирургический журнал. – 2012. – № 3 (25). – С. 9–14. [Dibirov MD, Rodionov IE, Kakubava MR, et al. Korrekcija vnutribrjushnoj gipertenzii i mikrocirkuljacii u bol’nyh ostroj kishechnoj neprohodimost’ju starcheskogo vozrasta. Moscow surgical journal. 2012;3(25):9-14. (In Russ.)]
  3. Тимербулатов Ш.В., Тимербулатов М.В., Султанбаев А.У. Реперфузионный синдром в абдоминальной хирургии // Медицинский вестник Башкортостана. – 2010. – Т. 5. – № 4. – С. 145–151. [Timerbulatov ShV, Timerbulatov MV, Sultanbaev AU. Reperfusion syndrome in abdominal surgery. Bashkortostan Medical Journal. 2010;5(4):145-151. (In Russ.)]
  4. Меньков А.В., Гаврилов С.В. Острая кишечная непроходимость неопухолевого генеза: современное состояние проблемы // Современные технологии в медицине. – 2013. – Т. 5. – № 3. – С. 109–115. [Menkov AV, Gavrilov SV. Acute intestinal obstruction of nonneoplastic origin: current state of the problem. Modern Technologies in medicine. 2013;5(3):109-115. (In Russ.)]
  5. Ханевич М.Д., Манихас Г.М., Лузин Б.В., и др. Колоректальный рак: выбор хирургической тактики при толстокишечной непроходимости. – СПб., 2008. [Hanevich MD, Manihas GM, Luzin BV, et al. Kolorektal’nyj rak: vybor hirurgicheskoj taktiki pri tolstokishechnoj neprohodimosti. Saint Petersburg; 2008. (In Russ.)]
  6. Воробей А.В., Шулейко А.Ч., Лурье В.Н. Пути улучшения результатов лечения больных с тонкокишечной непроходимостью // Хирургия. Журнал имени Н.И. Пирогова. – 2012. – № 10. – С. 35–39. [Vorobey AV, Shuleyko ACh, Lur’e VN. Improving the results of the intestinal obstruction treatment. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2012;(10):35-39. (In Russ.)]
  7. Салтанов А.И., Сотников А.В. Проблема оценки тяжести состояния больных и органных нарушений // Вестник интенсивной терапии. – 2008. – № 2. – С. 59–65. [Saltanov AI, Sotnikov AV. Problema ocenki tjazhesti sostojanija bol’nyh i organnyh narushenij. Vestnik intensivnoj terapii. 2008;(2):59-65. (In Russ.)]
  8. Глушков Н.И., Гуляев А.В., Мусукаев Х.М., и др. Профилактика и прогнозирование послеоперационных осложнений у больных раком прямой кишки // Здоровье — основа человеческого потенциала: проблемы и пути их решения. – 2011. – Т. 6. – № 1. – С. 140–144. [Glushkov NI, Gulyaev AV, Musukaev KhM, et al. Prevention, treatment and forecast of postoperative urological complications in patients with rectum. Zdorov’e — osnova chelovecheskogo potenciala: problemy i puti ih reshenija. 2011;6(1):140-144. (In Russ.)]
  9. Szynglarewicz B, Matkowski R, Sydor D, et al. Postoperative complications of curative treatment for rectal cancer in males with sphincter-preserving total mesorectal excision. Pol Merkur Lekarski. 2007;23(137):348-351.
  10. Vidal MG, Ruiz Weisser J, Gonzalez F, et al. Incidence and clinical effects of intra-abdominal hypertension in critically ill patients. Crit Care Med. 2008;36:1823. doi: 10.1097/CCM.0b013e31817c7a4d.
  11. Kimball EJ, Kim W, Cheatham ML, Malbrain ML. Clinical awareness of intra-abdominal hypertension and abdominal compartment syndrome. Acta Clin Belg (Suppl). 2007:66-73.

Copyright (c) 2018 Glushkov N.I., Pakhmutova Y.A., Belsky I.I., Safin M.G., Shchur M.S.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies