[Naso-intestinal endoscopic intubation in the complex treatment of postoperative intestinal obstruction]. / Nazointestinal'naia éndoskopicheskaia intubatsiia v kompleksnom lechenii posleoperatsionnoi kishechnoi neprokhodimosti.

The long-tube decompression was used for treatment of 54 selected patients with diagnosis of early postoperative intestinal obstruction. For this purpose a silicon double-lumen wire-guided tube has been endoscopically introduced into the proximal portion of the small intestine. In 40 cases continuous decompression of the small bowel brought about a successful resolution of intestinal obstruction by nonoperative therapy. Failure of the conservative treatment within the first 48 hours after intubation has led to operation in 14 cases. Six patients died in this series (4 patients died of multiple organ failure, 2--of thromboembolism). The study has shown that the method can be successfully used.

[Subtotal colectomy in the treatment of intestinal obstruction in cancer of the left half of the colon]. / Subtotal'naia kolektomiia v lechenii obturatsionnoi neprokhodimosti kishechnika pri rake levoi poloviny obodochnoi kishki.

Eleven cases of acute obstructing carcinoma of the left colon were treated by emergency subtotal colectomy with immediate ileocolorectal anastomosis. The procedure of on-table closed antegrade preparation of the small bowel has been developed by the authors preventing the anastomosis incompetence. In all cases during postoperative treatment the long-tube decompression, enteral tube feeding and HBO were used. Two patients died. In five cases non-fatal postoperative complications have developed. Further research is recommended for more careful selection of patients for the procedure.

[Effectiveness of hyperbaric oxygenation after operations for acute intestinal obstruction]. / Effektivnost' giperbaricheskoi oksigenatsii posle operatsii po povodu ostoi kishechnoi neprokhodimosti.

Positive effects of HBO sessions on indices of central hemodynamics is shown in 34 patients with different forms of acute intestinal obstruction.