Open AccessClinical Efficacy of Enteral Saline Solution When Used as Part of Combined Treatment for Various Forms of Acute Pancreatitis
Author(s) -
Р. Ф. Шавалиев,
М. М. Миннуллин,
Р. А. Зефиров,
Р. Н. Ахундов,
А Ж Баялиева,
Ш. Д. Гарданов
Publication year - 2020
Publication title -
kreativnaâ hirurgiâ i onkologiâ
Language(s) - English
Resource type - Journals
eISSN - 2307-0501
pISSN - 2076-3093
DOI - 10.24060/2076-3093-2019-9-4-254-260
Subject(s) - medicine , acute pancreatitis , saline , enteral administration , pancreatitis , gastroenterology , surgery , anesthesia , parenteral nutrition
The article presents the results of a retrospective study of the effectiveness of intestinal lavage with enteral saline solution for the treatment of dynamic intestinal obstruction in acute forms of pancreatitis and pancreonecrosis. The objective of this study is to improve treatment results in patients with intestinal paresis with various forms of acute pancreatitis with the use of intestinal lavage with enteral saline solution. Materials and methods . The study included 81 patients, 56 (69.1 %) males and 25 (30.9 %) females, the age averaging at 59.3 ± 13.4 years. These patients were hospitalized at different time intervals counting from the onset of the disorder, ranging from 24 hours to 7 days. Patients were divided in two groups depending on hospitalisation prior to the first procedure of intestinal lavage providing there was no counterindications. Results and discussion . Prokinetic effect of intestinal lavage in patients with gastrostasis and dynamic bowel obstruction help improve the quality of conservative treatment (up to 78.3 % in 1 st group and 37.1 % in 2 nd group); avoid open surgical procedures (up to 6.5 % in 1 st group, up to 37.1 % in 2 nd group), perform minimally invasive procedures to drain confined lesions (15.2 % of patients in 1 st group, 42.9 % in 2 nd group); eliminate manifestations of gastrostasis within 3 days following IL in both groups. The reduction/elimination of dynamic intestinal obstruction within 24 hours following IL (up to 73.8 % in 1 st group, up to 97.1 % in 2 nd group) made it possible to start early enteral nutrition within 48 hours (73.9 % in 1 st group, up to 42.8 % in 2 nd group). Conclusions . Early use of intestinal lavage in the complex therapy of acute forms of pancreatitis is safe and effective. It reduces the number of purulent-septic complications, prevents the development of multiple organ failure, reduces the overall mortality, prepares the intestine for early enteral nutrition.