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IMPROVEMENT OF TREATMENT OF UNFORMED DUODENAL AND HIGH JEJUNAL FISTULAS

https://doi.org/10.12737/article_5a0a8cf22510c8.61983622

Abstract

This article shows many years of surgical experience of treatment of unformed duodenal and high jejunal fistulas using specific combined methods in main treatment group. The review covers the period from 2000 to 2016 years, which includes treatment of 132 patients who suffered from unformed duodenal and high jejunal fistulas. The research was conducted on the basis of the Republic Clinical hospital of G.G. Kuvatov in Bashkortostan. We followed the purpose of analysis and evaluation of the structure and quantity of early postoperative complications, including purulent-septic complications, as well as postoperative lethality, by comparing the main and control groups of treated patients, who received different kinds of therapy of unformed duodenal and jejunal fistulas. The treatment complex (main treatment group) consists of local use of collagen to strengthen intestinal sutures; selective injections of angioprotectors to blood vessels to improve microcirculation and trophic tissues; laser and antibiotic therapy for better eradication of microorganisms. The obtained results showed that the technique developed by us allowed to reduce the frequency of inconsistency of intestinal sutures, the number of newly formed intestinal fistula and purulent-septic complications in the treatment of patients with unformed duodenal and high jejunal fistulas.

About the Authors

V. S. Panteleev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


R. R. Ishtukov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


V. D. Dorofeev
ГБУЗ Республиканская клиническая больница им. Г.Г. Куватова
Russian Federation


M. O. Loginov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


S. A. Zaripov
ГБУЗ Республиканская клиническая больница им. Г.Г. Куватова
Russian Federation


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Review

For citations:


Panteleev V.S., Ishtukov R.R., Dorofeev V.D., Loginov M.O., Zaripov S.A. IMPROVEMENT OF TREATMENT OF UNFORMED DUODENAL AND HIGH JEJUNAL FISTULAS. Acta Biomedica Scientifica. 2017;2(6):142-145. (In Russ.) https://doi.org/10.12737/article_5a0a8cf22510c8.61983622

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ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)