ABSTRACT
The possible mechanisms of clinical efficacy "sleeve" gastrectomy in patients with obe- sity were analysed. The metabolic effect transactions associated not only with reducing the volume of the stomach, but the acceleration passage of gastric contents of the tube and the small intestinp_
Subject(s)
Cytoreduction Surgical Procedures/methods , Gastrectomy/methods , Obesity, Morbid/surgery , Stomach/surgery , Adult , Contrast Media/metabolism , Female , Gastric Mucosa/metabolism , Gastrointestinal Transit , Humans , Male , Middle Aged , Obesity, Morbid/diagnostic imaging , Obesity, Morbid/metabolism , Obesity, Morbid/pathology , Radiography , Stomach/diagnostic imaging , Stomach/pathologyABSTRACT
Pathogenetic peculiarities of chronic intraabdominal hypertension syndrome (CHIHS) in patients, suffering morbid obesity (MO), to whom bariatric operative interventions were performed, were studied. The intraabdominal pressure factor impact on the concurrent diseases and postoperative period course in patients, suffering MO, was analyzed.
Subject(s)
Bariatric Surgery/methods , Intra-Abdominal Hypertension/complications , Obesity, Morbid/surgery , Adolescent , Adult , Body Mass Index , Cardiovascular Physiological Phenomena , Female , Humans , Intra-Abdominal Hypertension/diagnosis , Intra-Abdominal Hypertension/physiopathology , Intra-Abdominal Hypertension/surgery , Male , Middle Aged , Monitoring, Ambulatory , Monitoring, Intraoperative , Obesity, Morbid/complications , Obesity, Morbid/diagnosis , Obesity, Morbid/physiopathology , Respiratory Physiological Phenomena , Treatment Outcome , Young AdultABSTRACT
The results of surgical treatment of 69 patients, suffering impassability of the gut hollow organs, were analyzed. There was established, that, while presence of intraabdominal hypertension, an early postoperative complications rate is increasing trustworthily. Intraabdominal pressure (IAP) raising, coexistent with intraabdominal postoperative complications presence, constitutes a prognostic factor, proving the presence of necessity to perform relaparotomy. Hospital lethality risk is determined by value of intraabdominal perfusion pressure. Results of the investigation witnesses the necessity to conduct a systemic monitoring of IAP in patients, suffering impassability of the gut hollow organs.
Subject(s)
Abdomen/surgery , Compartment Syndromes/etiology , Gastrointestinal Diseases/surgery , Postoperative Complications/etiology , APACHE , Abdomen/physiopathology , Adult , Aged , Aged, 80 and over , Compartment Syndromes/surgery , Decompression, Surgical , Female , Gastrointestinal Diseases/complications , Gastrointestinal Diseases/physiopathology , Humans , Male , Middle Aged , Monitoring, Physiologic , Perfusion , Postoperative Complications/surgery , Pressure , Prognosis , ReoperationABSTRACT
The results of surgical treatment of 32 patients, suffering gastric cancer with the stomach outlet stenosis, were analyzed. There was established a negative reverse interrelationship existing between intraabdominal pressure level (IPL) and the patients tolerance to the enteral feeding conduction. The disorder of tolerance to early enteral probe feeding (EEPF) conduction postoperatively owes a prognostic significance in this group of patients. The IPL monitoring conduction in this group of patients permits to optimize the EEPF conduction and has a prognostic significance for postoperative period course.
