RESUMO
The work is devoted to objectivization of the diagnostics and control of treatment of paresis of the gastrointestinal tract in diffuse peritonitis. The method of selective electrogastroenterocolonography after digitization of the data makes it possible to characterize the functioning of the gastrointestinal tract in figures which can be compared with quantitative characteristics of endogenous intoxication. So the direct relation between the degree of the gastrointestinal tract paresis and endogenous intoxication was proved. The method of selective electrogastroenterocolonography allowed an objective control of the treatment using sorption technologies, low amplitude electrostimulation and parenteral feeding with Dipeptiven. Its success was proved by a less number of complications (from 45% to 27%) and less lethality (from 21.2% to 16.6%).
Assuntos
Terapia por Estimulação Elétrica/métodos , Gastroenteropatias/diagnóstico , Motilidade Gastrointestinal , Laparoscopia/métodos , Nutrição Parenteral/métodos , Peritonite/complicações , Desintoxicação por Sorção/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Dipeptídeos/uso terapêutico , Seguimentos , Gastroenteropatias/etiologia , Gastroenteropatias/terapia , Humanos , Pessoa de Meia-Idade , Peritonite/diagnóstico , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Two leading moments in endotoxicosis of acute pancreatitis pancreatogenic and enterocologenic should be emphasized. A new noninvasive method is proposed for objective determination of the degree of enteroparesis in patients with acute pancreatitis. A conversion of the gastroenterocolonogram curves into digital parameters gave quantitative data which help to reveal the form of acute pancreatitis. the degree of endogenous intoxication and shows the course of the treatment.
