A large number of pyoinflammatory complications during the postoperative period, high mortality in patients with malignant intestinal obstruction cause necessarity of additional methods research aimed at the improvement of treatment results in such patients. The presence of severe intestinal obstruction and a high percentage of patients with protein-energy malnutrition create the prerequisites for studying the effect of artificial clinical nutrition at the immediate results of treatment of such patients. The developed technique takes into account the peculiarities of this category of patients, whether they have the original malnutrition or intestinal obstruction and is to hold early enteral therapy and nutritional support. Application of this technique in the complex treatment of malignant intestinal obstruction improves performance of trophological status, reducing the degree of endogenous intoxication, reducing the number of postoperative complications, mortality and length of stay of patients in the hospital.
Key words
colorectal cancer, protein-energy malnutrition, enteral therapy, nutrition care, postoperative period.
3. Borie F., Tretarre B., Marchigano E. et al. Management and prognosis of colon cancer in patients with intestinal obstructions or peritonitis: A French population-based study. // Med. Sci. Monit.–2005.– Vol.11, №6.–R. CR 266– CR 273.
4. Gainytdinov F.M., Kylyapin A.V., Ahmetov I.H. i dr. Lechenie oslojnennih form kolorektalnogo raka // Mejdynar. hiryrg. kongr. «Aktyalnie problemi sovremennoi hiryrgii». – M., 2003. – S. – 199.
5. Petrov V.P., Lazarev G.V., Kitaev A.V. i dr. Sovremennie podhodi k hiryrgicheskomy lecheniu kolorektalnogo raka // Problemi koloproktologii. – M., 2002. – Vip. 18. – S. 285-288.
6. Brusov P.G., Malahov U.P. Evoluciya podhodov k hiryrgicheskomy lecheniu bolnih rakom obodochnoi kishki, oslojnennim ostroi obtyracionnoi kishechnoi neprohodimostu // Ros. onkol. jyrn. – 2004. – №5. – C. 4-8.
7. Mohov E.M., Myradaliev M.A. Osobennosti lecheniya opyholevoi kishechnoi neprohodimosti y bolnih pojilogo i starcheskogo vozrasta. // Mejdynar. hiryrg. kongr. «Aktyalnie problemi sovremennoi hiryrgii». – M., 2003. – S. 123.
8. Totikov V.Z., Hestanov A.K., Zyraev K.E. i dr. Hiryrgicheskoe lechenie obtyracionnoi neprohodimosti obodochnoi kishki // Hiryrgiya. – 2001. – №8. – C. 51-54.
9. Langenhoff B.S., Krabbe P.F., Wobbes T. et al. Quality of life as an outcome measure in surgical oncology // Brit. J. Surg. – 2001. – Vol. 88, № 5. – R. 643-652.
12. Udin A.B. Rannyaya enteralnaya terapiya kak element patogeneticheskogo lecheniya bolnih operirovannih po povody ostroi spaechnoi tonkokishechnoi neprohodimosti: Avtoref. dis. … kand. med. nayk. – SPb., 2008. – 19 s.
13. Tisdale MJ. Cachexia in cancer patients // Nat. Rev. Cancer.–2002.– Vol.2, №11.–R.862– 871.
14. Kompan L., Kremzar V., Gadzijev E. et al. Effect of early enteral nutrition op intestinal permeability and the development of multiple organ failure after mu1tiple injury // Intensive Care Med. - 1999. - Vol. 25, №2. – R.157 - 161.
15. Minard G., Kudsk K.A., Molton S. Early versus delayed feeding with an immuneenehancing diet in patients with severe head injuries // JPEN - 2000. - Vol.24, №3– R.145 -149.
16. Pupelis G., Selga G., Austrums E. et al. Jejunal feeding, even when instituted late,improve outcome in patients with severe ransreatitis and peritonitis // Nutrition. - 2001. - Vol.17, №2.–R.9l - 94.