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M.L. Rogal

Sklifosovsky Research Institute for Emergency Care

P.A. Yartsev

Sklifosovsky Research Institute for Emergency Care

M.S. Zhigalova

Sklifosovsky Research Institute for Emergency Care

Yu.S. Teterin

Sklifosovsky Research Institute for Emergency Care

K.V. Staleva

Sklifosovsky Research Institute for Emergency Care

V.V. Kiselev

Sklifosovsky Research Institute for Emergency Care

B.T. Tsuleiskiri

Sklifosovsky Research Institute for Emergency Care

S.S. Petrikov

Sklifosovsky Research Institute for Emergency Care

Enteral therapy in patients with blunt abdominal trauma

Authors:

M.L. Rogal, P.A. Yartsev, M.S. Zhigalova, Yu.S. Teterin, K.V. Staleva, V.V. Kiselev, B.T. Tsuleiskiri, S.S. Petrikov

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(11): 63‑71

DOI: 10.17116/hirurgia202311163

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Table of contents

ENTERAL THERAPY IN PATIENTS WITH BLUNT ABDOMINAL TRAUMA
ENTERAL THERAPY IN PATIENTS WITH BLUNT ABDOMINAL TRAUMA

To cite this article:

Rogal ML, Yartsev PA, Zhigalova MS, Teterin YuS, Staleva KV, Kiselev VV, Tsuleiskiri BT, Petrikov SS. Enteral therapy in patients with blunt abdominal trauma. Pirogov Russian Journal of Surgery. 2023;(11):63‑71. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia202311163

Здоровье щитовидной железы – 2024
Перекрестки терапевтических проблем
Доказательная гастроэнтерология: pro et contra
Актуальные вопросы педиатрической практики
NN - давайте знакомится (08.04.2024)
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OBJECTIVE

To improve the outcomes in ICU patients with blunt abdominal trauma via enteral therapy by saline enteral solution.

MATERIAL AND METHODS

A retrospective and prospective study included 24 patients (18 (75%) men and 6 (25%) women) with blunt abdominal trauma who underwent examination and treatment at the Sklifosovsky Research Institute for Emergency Care. Age of patients ranged from 38 to 81 years (mean 50.1±13.6).

RESULTS

Enteral therapy was followed by normalization of serum lactate, alanine aminotransferase and aspartate aminotransferase after 3 days. There were significant differences in decrease of lactate dehydrogenase, alanine aminotransferase and C-reactive protein. In the control group, these parameters decreased only by the 10th day.

CONCLUSION

Inclusion of saline enteral solution into the complex therapy contributes to earlier recovery of gastrointestinal function and prevents compartment syndrome. These aspects reduced the number of patients with multiple organ failure.

Keywords:

mesenteric malperfusion
intestinal barrier
peristalsis
saline enteral solution

Authors:

M.L. Rogal

Sklifosovsky Research Institute for Emergency Care

P.A. Yartsev

Sklifosovsky Research Institute for Emergency Care

M.S. Zhigalova

Sklifosovsky Research Institute for Emergency Care

Yu.S. Teterin

Sklifosovsky Research Institute for Emergency Care

K.V. Staleva

Sklifosovsky Research Institute for Emergency Care

V.V. Kiselev

Sklifosovsky Research Institute for Emergency Care

B.T. Tsuleiskiri

Sklifosovsky Research Institute for Emergency Care

S.S. Petrikov

Sklifosovsky Research Institute for Emergency Care

Received:

13.03.2023

Accepted:

29.06.2023

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