RESUMO
The results of examinations and treatment of 338 patients operated by reason of perforated gastric and duodenal ulcer (PGDU). It was established, that parenteral and oral nutrition in PGDU patients after traditional surgical operation did not improve patients' trophic state. Performance of early enteral nutrition with Pevzner's diet and nutritive maintenance during all postoperative period in patients, operated by low-invasive methods, has favorable influence on patients' trophic state.
Assuntos
Úlcera Duodenal/complicações , Metabolismo Energético , Nutrição Enteral/métodos , Úlcera Péptica Perfurada/terapia , Úlcera Gástrica/complicações , Úlcera Duodenal/metabolismo , Úlcera Duodenal/terapia , Seguimentos , Humanos , Úlcera Péptica Perfurada/etiologia , Úlcera Péptica Perfurada/metabolismo , Estudos Retrospectivos , Úlcera Gástrica/metabolismo , Úlcera Gástrica/terapia , Resultado do TratamentoRESUMO
The article summarizes the results of the examination and treatment of 99 patients with mechanical jaundice (MJ) related to gallstone disease (GSD). The patients were distributed into three groups according to three degrees of the dysfunction of the greater duodenal papilla (GDP) sphincter. Group 1 consisted of 52 patients with transitory MJ (degree I), Group 2 consisted of 32 patients with stable MJ remaining after coping with the pain attack (degree II), and Group 3 consisted of 15 patients with MJ and cholangitis (degree III). Trophic status disturbances and the effects of balanced clinical nutrition on the results of surgical treatment were assessed in all the patients. The severity and duration of jaundice were found to influence the severity of trophic changes. Clinical nutrition (sipping and enteral tube feeding) favored survival after papilla-sparing surgery in patients with MJ related to gallstone disease.
