medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2019-2-13(388)-26-33medalphabet-1295Research ArticleСтатьиПрофилактика осложнений тонкокишечного J-образного резервуараPrevention of complications of intestinal J pouch reservoirАтрощенкоА. О.AtroschenkoA. O.

к.м.н., зав. отделением колопроктологии

г. Москва

Moscow

ДаниловМ. А.DanilovM. A.

к.м.н., с.н.с. отделения колопроктологии

г. Москва

Moscow

АбдулатиповаЗ. М.AbdulatipovaZ. M.

к.м.н., научный сотрудник отделения колопроктологии

г. Москва

Moscow

ПоздняковС. В.PozdnyakovS. V.

врач-колопроктолог отделения колопроктологии

г. Москва

Moscow

ДолгопятовИ. А.DolgopyatovI. A.

врач-колопроктолог отделения колопроктологии

г. Москва

Moscow

ТетеринА. В.TeterinA. V.

врач-колопроктолог отделения колопроктологии

г. Москва

Moscow

ЧудныхС. М.ChudnikhS. M.

д.м.н., проф., зам. главного врача по хирургии

г. Москва

Moscow

МихайлянцГ. С.MikhaylyantsG. S.

д.м.н., проф., в.н.с. отделения колопроктологии

г. Москва

Moscow

ГБУЗ г. Москвы «Московский клинический научно-практический центр имени А.С. Логинова» Департамента здравоохранения г. МосквыРоссияMoscow Clinical Scientific and Practical Centre n.a. A.S. LoginovRussian Federation201928112019213Практическая гастроэнтерология2633Copyright © Атрощенко А.О., Данилов М.А., Абдулатипова З.М., Поздняков С.В., Долгопятов И.А., Тетерин А.В., Чудных С.М., Михайлянц Г.С., 20192019Атрощенко А.О., Данилов М.А., Абдулатипова З.М., Поздняков С.В., Долгопятов И.А., Тетерин А.В., Чудных С.М., Михайлянц Г.С.Atroschenko A.O., Danilov M.A., Abdulatipova Z.M., Pozdnyakov S.V., Dolgopyatov I.A., Teterin A.V., Chudnikh S.M., Mikhaylyants G.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/1295

Первая колпроктэктомии с формированием тазового тонкокишечного резервуара была выполнена в 1970 году. С тех пор техника операции была тщательно отработана и в настоящий момент является золотым стандартом в хирургическом лечении язвенного колита и семейного аденоматозного полипоза. Эта операция позволяет повысить качество жизни пациентов, избавляя их от необходимости формирования постоянной илеостомы, улучшая психоэмоциональную, социальную и физическую реабилитацию больных. Тем не менее это вмешательство сопряжено с высоким риском послеоперационных осложнений. Нарушение функционирования тазового резервуара, а также присоединение инфекции являются грозными осложнениями, значительно ухудшающими качество жизни пациента. Хирурги, выполняющие данный вид операций, вынуждены сталкиваться с рядом интраоперационных и послеоперационных осложнений, которые требуют повторных вмешательств. Целью исследования является улучшение результатов лечения больных с тонкокишечным резервуаром. Проведен обзор и анализ литературы по данной проблеме. Успешный результат при выполнении колпроктэктомии с формированием тазового тонкокишечного резервуара зависит от тщательного предоперационного планирования, опыта хирурга, профилактики интра‑ и послеоперационных осложнений.

The first colproctrectomy with the formation of a pelvic intestinal reservoir was performed in 1970. Since then, the technique has been thoroughly tested and currently it is the gold standard in the surgical treatment of ulcerative colitis and familial adenomatous polyposis. This operation allows to improve the quality of patients’ life, reducing the need to form a permanent ileostomy, improving the psychomotional, social and physical rehabilitation of patients. However, this intervention is associated with a high risk of postoperative complications. Impairment of the the pelvic reservoir functioning, as well as the addition of infection, are terrible complications that significantly worsen the patient’s quality of life. Surgeons performing this type of surgery have to face a number of intraoperative and postoperative complications that require repeated interventions. The aim of the study is to improve the results of treatment of patients with the small bowel reservoir. A review and analysis of the literature is performed in this issue. Successful results of performing colproctectomy with the formation of a pelvic enteric reservoir depend on careful preoperative planning, experience of the surgeon, prevention of intra‑ and postoperative complications.

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The authors declare that there are no conflicts of interest present.