Therapy of severe acute gastrointestinal injury: main stages and role of pharmaconutrients
https://doi.org/10.33667/2078-5631-2020-7-49-52
Abstract
Acute gastrointestinal injury develops in more than half of all patients in the intensive care unit, regardless of the underlying pathology. Determining the stage of acute gastrointestinal injury is necessary to choose the appropriate strategy of intensive therapy, leading to the fast gastrointestinal function recovery. The described strategy of intensive therapy, certain approaches to enteral therapy allow to improve prognosis and to reduce the duration of the disease among patients with severe gastrointestinal injury.
About the Authors
I. A. MachulinaRussian Federation
Moscow
A. E. Shestopalov
Russian Federation
Moscow
E. A. Evdokimov
Russian Federation
Moscow
References
1. Синдром кишечной недостаточности в хирургии / Т. С. Попова, Т. Ш. Тамазашвили, А. Е. Шестопалов. – М.: Медицина, 1991. – 240 с.
2. Gastrointestinal symptoms in intensive care patients./ Reintam A., Parm P., Kitus R., Kern H., Starkopf J. Acta Anaesthesiol Scand. 2009 Mar; 53 (3): 318–24.
3. Парентеральное и энтеральное питание: национальное руководство / Под ред. М. Ш. Хубутия, Т. С. Поповой, А. И. Салтанова. – М.: ГЭОТАР Медиа, 2015.
4. Reintam A. et al. Gastrointestinal failure score in critically ill patients: a prospective observational study // Critical Care. – 2008. – Т. 12. – № 4. – С. R 90.
5. The 2016 ESPEN Arvid Wretlind lecture: The gut in stress. Stephen A. McClave, Cynthia C. Lowen, Robert G. Martindale. Clinical Nutrition 37, 2018: 19–36.
6. Ларичев С. Е., Бабкова И. В., Мишукова Л. Б. Комплексная ультразвуковая диагностика формы острой тонкокишечной непроходимости: Метод, рекомендации. 2001. № 112. –М.: Весь мир, 2002. – 19 с.
7. The Roles of Glutamine in the Intestine and Its Implication in Intestinal Diseases, Min-Hyun Kim, Hyeyoung Kim. – Int J Mol Sci. 2017 May; 18 (5): 1051.
Review
For citations:
Machulina I.A., Shestopalov A.E., Evdokimov E.A. Therapy of severe acute gastrointestinal injury: main stages and role of pharmaconutrients. Medical alphabet. 2020;(7):49-52. (In Russ.) https://doi.org/10.33667/2078-5631-2020-7-49-52