[ASSESSMENT OF THE QUALITY OF LIFE OF PATIENTS AFTER CHOLECYSTECTOMY].

Assessment of the quality of life (QOL) in modern medicine takes an important role, and can also provide a comprehensive evaluation of the patient's health status. The article presents the data of our own research evaluating the QOL of patients after cholecystectomy for a period of 0.7 to 4.1 years. The patients were interviewed using the international questionnaire - GastrointestinalQualityofLifeIndex (GIQLI). QOLs were evaluated depending on factors such as postoperative time, type of hospitalization, sex, age, marital status, changes in the gallbladder structure, activity, duration of hospitalization, and the type of surgical access. As a result of the research, it was determined that the increase in the QOL index correlates with the period elapsed since the surgery. Positive effects on QOL were influenced by such factors as patients' staying with the family, the planned of cholecystectomy (vs. urgent surgery), laparatomic surgical access, age and sex. QOL also proved to be higher in patients with chronic changes in the gallbladder.

[Enteral tube feeding of patients after esophagoplasty]. / Enteral'noe zondovoe pitanie u bol'nykh posle plastiki pishchevoda.

A method for enteral catheter feeding is suggested. It was applied in 60 patients after esophagoplasty. The main group consisted of 23 females and 37 males aged from 18 to 68 years. Esophageal carcinoma was observed in 31, burn stricture of the esophagus 18, and other benign diseases of the esophagus in 11 cases. All patients were subjected to extirpation of the esophagus with one-stage posteromedial esophagoplasty in 57 patients with an isoperistaltic gastric tube and in 3 patients with the colon. The control group was formed of 20 patients who underwent the same operations. Inpitan, ovolact, and hypernutril were used for enteral catheter feeding. The catheter was introduced via the nasal passage and transplant into the proximal segment of the jejunum. The mixtures were administered in drops of 5 to 7 days after the operation. Only parenteral feeding was conducted in the control group. The disorders of the alimentary status were removed quicker in patients of the main group than in the control and the incidence of postoperative complications was less. Body weight and the nitrogen balance were restored within a shorter time in the main group patients and incompetence of the esophageal anastomoses developed in a lesser number of cases.