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Acute Intestinal Obstruction of Nonneoplastic Origin: Current State of the Problem

Acute Intestinal Obstruction of Nonneoplastic Origin: Current State of the Problem

Menkov А.V., Gavrilov S.V.
Key words: acute intestinal obstruction; intestinal insufficiency syndrome; intraabdominal hypertension; nasogastrointestinal intubation.
2013, volume 5, issue 3, page 109.

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Recent Russian and foreign publications on the problem of surgical management of acute intestinal obstruction of nonneoplastic origin were reviewed. Current views on the main pathogenetic aspects determining the severity of the disease and the high incidence of lethal complications were represented. The features of the pathology in elderly patients were shown. There was proved the necessity of a comprehensive examination of patients enabling to determine not only the obstruction nature, but also the degree of functional impairments of vital organs and systems due to the comorbidity; and emphasized the complexity of intraoperative assessment of the viability of the bowel area with impaired blood supply making surgeons to expand the volume of bowel resection. The features of the decompression nasogastrointestinal intubation of the digestive tract and its sanitation through a probe were represented. The feasibility of a multidisciplinary approach in preoperative preparation planning and choosing an anesthetic technique and treatment of patients after the surgery was demonstrated.

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Menkov А.V., Gavrilov S.V. Acute Intestinal Obstruction of Nonneoplastic Origin: Current State of the Problem. Sovremennye tehnologii v medicine 2013; 5(3): 109


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