DIAGNOSIS OF ISCHEMIC INTESTINAL LESIONS IN ACUTE STRANGULATED INTES- TINAL OBSTRUCTION (ASIO) IN CHILDREN
Abstract and keywords
Abstract (English):
Purpose - to determine the possibility of laboratory and endoscopic methods for the diagnosis of ischemic bowel disorders in children with ASIO. Material and methods. 40 children with ASIO underwent routine examinations, including ultrasound, abdominal x-rays, laparoscopy, and lactate (lactic acid). Results. It has been established that the lactate level and laparoscopic examination make it possible to diagnose ischemia with an accuracy in children with ASIO. Conclusion. Lactate levels and laparoscopy in children with ASIO are important factors in the diagnosis of intestinal ischemia.

Keywords:
ischemia, acute strangulated intestinal obstruction, endoscopy, laboratory diagnostics, children
Text
Publication text (PDF): Read Download
References

1. Hollerweger A., Wcstner M., Dirks K. Bowel obstruction: sonographic evaluation. Ultraschall Med. 2015;36(3):216-35. doihttps://doi.org/10.1055/s-0034-1399292.

2. Korovin A. Ya., Andreeva M. B., Trifanov N. A. Osobennosti lecheniya bol'nyh ostroy okklyuzionnoy arterial'noy mezenterial'noy ishemiey s infarktom kishechnika i peritonitom. Vestnik hirurgicheskoy gastroenterologii. 2015;(3-4):29-34.

3. Kukeev T. K., Kukeeva Zh. T. Ostraya nepro-hodimost' verhney bryzheechnoy arterii. Vestnik Almatinskogo gosudarstvennogo instituta usovershenstvovaniya vrachey. 2014;(3):102-106.

4. Acosta S. Surgical management of peritonitis secondary to acute superior mesenteric artery occlusion. World J Gastroenterol. 2014;20(29):9936-41. doihttps://doi.org/10.3748/wjg.v20.i29.9936.

5. Joseph G., Agarwal S. Successful endovascular treatment of severe chronic mesenteric ischemia by concurrent triple-vessel mesenteric artery revascularization. Indian Heart J. 2015;67(2):144-7. doihttps://doi.org/10.1016/j.ihj.2015.03.002.

6. Kulikov L. K, Mikhaylov A. L., Kalinichenko A., Krauze V., Tsibikov S., Privalov U. Acute mesenteric artery ischemia: case report. Vostochnaya Evropa-Surgery. Eastern Europe. 2015;(13):125-130.

7. Prozorov S. A., Grishin A. V. Endovaskulyarnye metody lecheniya pri ostrom narushenii mezenterial'nogo krovoobrascheniya. Neotlozhnaya medicinskaya pomosch'. 2016;(2):37-42.

8. D'yakov S. V., Zhbannikov P. S., Karachevcev M. D., Zabusov A. V. Laktat krovi v ocenke i korrekcii tkanevoy perfuzii pri mezhgospital'noy transportirovke. Vestnik anesteziologii i reanimatologii. 2013;10(4):033-038.

9. Timerbulatov V. M., Timerbulatov Sh. V., Sagitov R. B., Asmanov D. I., Sultanbaev A. U. Diagnostika ishemicheskih povrezhdeniy kishechnika pri nekotoryh ostryh hirurgicheskih zabolevaniyah organov bryushnoy polosti. Vestnik Rossiyskoy akademii medicinskih nauk. 2017;3:12-19. doihttps://doi.org/10.24060/2076-3093-2017-7-3-12-19.

10. Bao L, Zhang M, Yan P, Wu X, Shao J, Zheng R. Retrospective analysis of the value of arterial blood lactate level and its clearance rate on the prognosis of septic shock patients. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2015;27(1):38-42. doihttps://doi.org/10.3760/cma.j.is sn.2095-4352.2015.01.009.

11. Nazarenko A. A., Akimov V. P. Laparoskopicheskaya adgeolizis i bar'ernaya profilaktika spaechnogo processa bryushnoy polosti. Hirurgiya. 2016;8:83-85.

12. Novikova I.A. Klinicheskaya laboratornaya diagnostika Minsk. Vysheyshaya shkola. 2020.

13. Keiichiro T, Nobuyoshi H, Tomonori I, Atsushi W, Susumu K, Teruyuki U, Toshio I, Ryoji M. Lactate levels in the detection of preoperative bowel strangulation. Am Surg. 2012;78(1):86-8.

14. Mutlu Ş., Hakan B., Alper Y., Veysel B. T., B'lent C., Nedim Arda K., M'nire B., Doğan C. ‴e role of the lactate level in determining the risk rates of small bowel resection in incarcerated hernias. Ulus Travma Acil Cerrahi Derg. 2020;26(4):593-599. doi:https://doi.org/10.14744/tjtes.2020.02500

15. Keiichiro T., Hisashi H., Takao O. Lactate Levels in Bowel Strangulation With Experimental Animal Model. Int Surg. 2015; 100(2): 240-243. doi:https://doi.org/10.9738/INTSURG-D-13-00211.1

16. Timofeev M. E., Larichev S. E., Fedotov E. D., Polushkin V. G., Shapoval'yanc S. G. Laparoskopicheskaya diagnostika i lechenie ostroy ranney spaechnoy tonkokishechnoy neprohodimosti. Hirurgiya. 2015;8:46-53.

17. Isakov Yu. F., Razumovskiy. Yu. A. Detskaya hirurgiya (nacional'noe rukovodstvo). Moskva, GEOTAR-Media. 2018.

18. Solov'ev A. E., Kul'chickiy O. A. Stadii strangulyacionnoy kishechnoy neprohodimosti u detey. Nauka molodyh. 2020;8(2):239-245.

19. Shapoval'yanc S. G., Larichev S. E., Timofe-ev M. E. Sovremennaya kompleksnaya diagnostika ostroy spaechnoy tonkokishechnoy neprohodimosti. Moskva. GEOTAR-Media; 2014.


Login or Create
* Forgot password?