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Sazhin A.V.

Pirogov Russian National Research Medical University

Tyagunov A.E.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

Larichev S.E.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova;
Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii: kafedra gospital'noĭ khirurgii #2 s NIL khirurgicheskoĭ gastroénterologii i éndoskopii;
Gorodskaia klinicheskaia bol'nitsa #31

Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Makhuova G.B.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia;
Buyanov Municipal Clinical Hospital №12 of Moscow Healthcare Department, Moscow, Russia

Marchenko I.P.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet imeni N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Polushkin V.G.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet imeni N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Tyagunov A.A.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Sazhin I.V.

Kafedra khirurgii i OVP s kursom éndokhirurgii fakul'teta poslediplomnogo obrazovaniia Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova, Novomoskovskaia gorodskaia klinicheskaia bol'nitsa

Nechay T.V.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

Ivakhov G.B.

Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia

Titkova S.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Anurov M.V.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Gasanov M.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Kolygin A.V.

Department of general surgery and radiology Russian National Research Medical University named after N.I. Pirogov, School of Pediatry, Moscow

Mirzoian A.T.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Moskva

Glagolev N.S.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia;
Bauman Municipal Clinical Hospital №29 of Moscow Healthcare Department, Moscow, Russia

Kurashinova L.S.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Optimal time of surgery for acute adhesive small bowel obstruction

Authors:

Sazhin A.V., Tyagunov A.E., Larichev S.E., Lebedev I.S., Makhuova G.B., Marchenko I.P., Polushkin V.G., Tyagunov A.A., Sazhin I.V., Nechay T.V., Ivakhov G.B., Titkova S.M., Anurov M.V., Gasanov M.M., Kolygin A.V., Mirzoian A.T., Glagolev N.S., Kurashinova L.S.

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Journal: Pirogov Russian Journal of Surgery. 2018;(3): 24‑30

DOI: 10.17116/hirurgia2018324-30

Read: 1316 times

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Table of contents

OPTIMAL TIME OF SURGERY FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION
OPTIMAL TIME OF SURGERY FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION

To cite this article:

Sazhin AV, Tyagunov AE, Larichev SE, et al. . Optimal time of surgery for acute adhesive small bowel obstruction. Pirogov Russian Journal of Surgery. 2018;(3):24‑30. (In Russ.)
https://doi.org/10.17116/hirurgia2018324-30

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

Aim. To define optimal terms of surgery for acute adhesive non-strangulatory small bowel obstruction. Material and methods. The analysis included 703 publications from e-LIBRARI.RU (342 works) and NCBI (361 works) databases for acute adhesive intestinal obstruction. The vast majority of articles presented retrospective analysis of single-center experience. Results. It has been established that short course of medication is predominantly used for acute adhesive intestinal obstruction in the Russian Federation. International studies point 2—5 days for conservative treatment. The advantages and disadvantages of short and long courses of medication were analyzed. Therefore, multicenter, prospective, randomized trial «Comparison of early operative treatment (12-hour medication) and long-term conservative treatment (48 hours) for acute adhesive small bowel obstruction» (COTACSO) was planned and registered (Unique Protocol ID: 14121729). The study protocol involves clinical, laboratory and instrumental exclusion of strangulation, randomization and conservative treatment of 2 groups of patients for 12 and 48 hours. Patients will undergo surgical interventions if obstruction will be present by that date. The main endpoint is mortality rate in both groups. The end of the study is December 2020.

Keywords:

adhesive
small bowel obstruction
conservative treatment
duration of conservative treatment
strangulation

Authors:

Sazhin A.V.

Pirogov Russian National Research Medical University

Tyagunov A.E.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

Larichev S.E.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova;
Nauchno-obrazovatel'nyĭ tsentr abdominal'noĭ khirurgii i éndoskopii: kafedra gospital'noĭ khirurgii #2 s NIL khirurgicheskoĭ gastroénterologii i éndoskopii;
Gorodskaia klinicheskaia bol'nitsa #31

Lebedev I.S.

Pirogov Russian National Research Medical University, Moscow, Russia;
Municipal Clinical Hospital No. 1 named after N.I. Pirogov, Moscow, Russia

Makhuova G.B.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia;
Buyanov Municipal Clinical Hospital №12 of Moscow Healthcare Department, Moscow, Russia

Marchenko I.P.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet imeni N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Polushkin V.G.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet imeni N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #31, Moskva

Tyagunov A.A.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Sazhin I.V.

Kafedra khirurgii i OVP s kursom éndokhirurgii fakul'teta poslediplomnogo obrazovaniia Rossiĭskogo gosudarstvennogo meditsinskogo universiteta im. akad. I.P. Pavlova, Novomoskovskaia gorodskaia klinicheskaia bol'nitsa

Nechay T.V.

Department of general surgery and radiology, Russian National Research Medical University named after N.I. Pirogov, Moscow

Ivakhov G.B.

Pirogov Russian National Research Medical University & ,V.S. Savel’ev University Faculty Clinic, Moscow, Russia

Titkova S.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Anurov M.V.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Gasanov M.M.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

Kolygin A.V.

Department of general surgery and radiology Russian National Research Medical University named after N.I. Pirogov, School of Pediatry, Moscow

Mirzoian A.T.

Rossiĭskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Moskva

Glagolev N.S.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia;
Bauman Municipal Clinical Hospital №29 of Moscow Healthcare Department, Moscow, Russia

Kurashinova L.S.

Pirogov Russian National Research Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia

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References:

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