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Differentiated approach to antihypoxic and endoportal therapy in treatment of discharged peritonitis complicated by syndrome of intestinal insufficiency

[Surgery]
Mikhail Topchiev; Dmitriy Parshin; Eldar Kchibekov; Petr Birukov; Misrikhan Misrikhanov;

Objective of this research was improvement of the results of treatment of patients with diffuse peritonitis by the differentiated use of enteral anti-hypoxemic and endoportal therapy. The results of surgery in 183 patients with diffuse peritonitis were analyzed. Enteral anti-hypoxemic therapy was performed by introduction of oxygenic water through the nazogastrointestinal probe. Endoportal therapy was performed after catheterization of the right gastroomental vein by introduction of antibiotic, hepatoprotective and anti-hypoxemic drugs. The blood gas composition, acid-base state, integrated indicators of the clinical severity and inflammatory changes of abdominal organs were investigated. The enteral anti-hypoxemic and endoportal therapy effectively prevented the enteral insufficiency development and improved the results of treatment.

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Keywords: diffuse peritonitis, index of an abdominal cavity, anti-hypoxemic therapy, endoportal therapy, syndrome of an enteral failure, nazogastrointestinal intubation, integrated scales


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