vspВопросы современной педиатрииCurrent Pediatrics1682-55271682-5535Издательство «ПедиатрЪ»10.15690/vsp.v14i2.1294vsp-66Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCEОПЫТ ВЕДЕНИЯ ПАЦИЕНТОВ СО СПАЕЧНОЙ КИШЕЧНОЙ НЕПРОХОДИМОСТЬЮEXPERIENCE IN MANAGEMENT OF ADHESIVE BOWEL OBSTRUCTIONДьяконоваЕ. Ю.D'yakonovaE. Yu.

кандидат медицинских наук, врач-хирург НИИ детской хирургии Научного центра здоровья детей Адрес: 119991, Москва, Ломоносовский проспект, д. 2, стр. 1, тел.: +7 (499) 134-14-55

rytella@mail.ruМорозовД. А.MorozovD. A.rytella@mail.ruГородковС. Ю.GorodkovS. Yu.rytella@mail.ruБекинА. С.BekinA. S.rytella@mail.ruКурбановаА. Ш.KurbanovaA. Sh.rytella@mail.ruНаучный центр здоровья детей, Москва, Российская ФедерацияРоссияScientific Centre of Children's Health, Moscow, Russian FederationRussian FederationНаучный центр здоровья детей, Москва, Российская Федерация Саратовский государственный медицинский университет им. В.И. Разумовского, Саратов, Российская ФедерацияРоссияScientific Centre of Children's Health, Moscow, Russian FederationRussian FederationСаратовский государственный медицинский университет им. В.И. Разумовского, Саратов, Российская ФедерацияРоссияV.I. Razumovskiy Saratov State Medical University, Russian FederationRussian Federation201517042015142Вопросы современной педиатрии256259Copyright © Дьяконова Е.Ю., Морозов Д.А., Городков С.Ю., Бекин А.С., Курбанова А.Ш., 20152015Дьяконова Е.Ю., Морозов Д.А., Городков С.Ю., Бекин А.С., Курбанова А.Ш.D'yakonova E.Y., Morozov D.A., Gorodkov S.Y., Bekin A.S., Kurbanova A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vsp.spr-journal.ru/jour/article/view/66

Обсуждаются вопросы наиболее частых причин и тактики лечения спаечной кишечной непроходимости, ее своевременной диагностики (заключающейся в необходимости проведения рентгенологического, ультразвукового и эндоскопического исследования). Показано, что лапароскопический адгезиолизис в сочетании с противоспаечной терапией дает возможность не только минимизировать осложнения в послеоперационном периоде, уменьшить сроки пребывания пациента в стационаре, обеспечить хороший косметический результат, но и позволяет верифицировать характер и распространенность спаечного процесса, а также исключить наличие иных заболеваний органов брюшной полости.

 

The article discusses the most common causes and strategies for treatment of adhesive bowel obstruction and its timely diagnostics (which consists in the need for X-ray, ultrasound and endoscopy). It is shown that laparoscopic adhesiolysis in conjunction with anti-adhesion therapy not only minimizes complications in the postoperative period, reduces the time of hospital stay and ensures a good cosmetic result, but also helps verify the nature and extent of adhesions, as well as exclude the presence of other abdominal cavity diseases.

 

спаечная болезньлапароскопияадгезиолизисadhesive diseaselaparoscopyadhesiolysisReferencesChoudhry M. S., Grant H. W. Small bowel obstruction due to adhesions following neonatal laparotomy. Pediatr. Surg. Int. 2006; 2006 (9): 729–732.Choudhry M.S., Grant H.W. Small bowel obstruction due to adhesions following neonatal laparotomy. Pediatr. Surg. Int. 2006; 2006 (9): 729–732.Nasir A. A., Abdur-Rahman L. O., Bamigbola K. T., Oyinloye A. O., Abdulraheem N. T., Adeniran J. O. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children? J. Pediatr. Surg. 2013; 10 (3): 259–264.Nasir A.A., Abdur-Rahman L.O., Bamigbola K.T., Oyinloye A.O., Abdulraheem N.T., Adeniran J.O. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children? J. Pediatr. Surg. 2013; 10 (3): 259–264.Lautz T. B., Raval M. V., Reynolds M., Barsness K. A. Adhesive small bowel obstruction in children and adolescents: operative utilization and factors associated with bowel loss. J. Am. Coll. Surg. 2011; 212 (5): 855–861. Doi: 10.1016/j.jamcollsurg.2011.01.061.Lautz T.B., Raval M.V., Reynolds M., Barsness K.A. Adhesive small bowel obstruction in children and adolescents: operative utilization and factors associated with bowel loss. J. Am. Coll. Surg. 2011; 212 (5): 855–861. Doi: 10.1016/j.jamcollsurg.2011.01.061.Vijay K., Anindya C., Bhanu P., Mohan M., Rao P. L. N. G. Adhesive Small Bowel Obstruction (ASBO) in сhildren — Role of Conservative Management. Med. J. Malaysia. 2005; 60 (1): 45–47.Vijay K., Anindya C., Bhanu P., Mohan M., Rao P.L.N.G. Adhesive Small Bowel Obstruction (ASBO) in сhildren — Role of Conservative Management. Med. J. Malaysia. 2005; 60 (1): 45–47.Grant H. W., Parker M. C., Wilson M. S., Menzies D., Sunder-land G., Thompson J. N., Clark D. N., Knight A. D., Crowe A. M., Ellis H. Population-based analysis of the risk of adhesion-related readmissions after abdominal surgery in children. J. Pediatr. Surg. 2006; 41 (8): 1453–1456.Grant H.W., Parker M.C., Wilson M.S., Menzies D., Sunderland G., Thompson J.N., Clark D.N., Knight A.D., Crowe A.M., Ellis H. Population-based analysis of the risk of adhesion-related readmissions after abdominal surgery in children. J. Pediatr. Surg. 2006; 41 (8): 1453–1456.Archibong Aii Ekpo. Diagnosticheskaya i lechebnaya taktika pri ostroi spaechnoi kishechnoi neprokhodimosti u detei. Avtoref. dis. … kand. med. nauk [Diagnostic and treatment tactics for acute adhesive intestinal obstruction in children. Author’s abstract]. Moscow, 1991. 25 p.Archibong Aii Ekpo. Diagnosticheskaya i lechebnaya taktika pri ostroi spaechnoi kishechnoi neprokhodimosti u detei. Avtoref. dis. … kand. med. nauk [Diagnostic and treatment tactics for acute adhesive intestinal obstruction in children. Author’s abstract]. Moscow, 1991. 25 p.Kobilov E.E. Ostraya spaechnaya kishechnaya neprokhodimost' u detei: diagnostika, lechenie i rol' laparoskopii. Avtoref. dis. … kand. med. nauk [Acute adhesive intestinal obstruction in children: diagnosis, treatment and the role of laparoscopy. Author’s abstract]. Moscow, 2006. 28 p.Kobilov E.E. Ostraya spaechnaya kishechnaya neprokhodimost' u detei: diagnostika, lechenie i rol' laparoskopii. Avtoref. dis. … kand. med. nauk [Acute adhesive intestinal obstruction in children: diagnosis, treatment and the role of laparoscopy. Author’s abstract]. Moscow, 2006. 28 p.Alibaev A.K. Diagnostika i lechenie rannei spaechno-pareticheskoi kishechnoi neprokhodimosti u detei. Avtoref. dis. … kand. med. nauk [Diagnosis and treatment of early-paretic adhesive intestinal obstruction in children. Author’s abstract]. Ufa, 2008. 24 p.Alibaev A.K. Diagnostika i lechenie rannei spaechno-pareticheskoi kishechnoi neprokhodimosti u detei. Avtoref. dis. … kand. med. nauk [Diagnosis and treatment of early-paretic adhesive intestinal obstruction in children. Author’s abstract]. Ufa, 2008. 24 p.Isakov Yu.Sh. Khirurgicheskie bolezni detskogo vozrasta [Surgical Pediatric Diseases]. Moscow, GEOTAR-Media, 2004. 336 p.Isakov Yu.Sh. Khirurgicheskie bolezni detskogo vozrasta [Surgical Pediatric Diseases]. Moscow, GEOTAR-Media, 2004. 336 p.Chekmazov A.I. Spaechnaya bolezn' bryushiny [Adhesive Disease of the Peritoneum]. Moscow, GEOTAR-Media, 2008. 160 p.Chekmazov A.I. Spaechnaya bolezn' bryushiny [Adhesive Disease of the Peritoneum]. Moscow, GEOTAR-Media, 2008. 160 p.Dronov A.F., Poddubnyi I.V. Endoskopicheskaya khirurgiya u detei [Endoscopic Surgery in Children]. Moscow, 2009. PP. 85,86, 88, 89, 94.Dronov A.F., Poddubnyi I.V. Endoskopicheskaya khirurgiya u detei [Endoscopic Surgery in Children]. Moscow, 2009. 85,86, 88, 89, 94 p.Eminov V.L., Malkov I.S. Sovershenstvovanie diagnostiki i optimizatsiya lecheniya bol'nykh s ostroi spaechnoi tonkokishechnoi neprokhodimost'yu. Avtoref. dis. … kand. med. nauk [Improved diagnostics and optimization of treatment of patients with acute adhesive intestinal obstruction. Author’s abstract]. Kazan, 2009. 21 p.Eminov V.L., Malkov I.S. Sovershenstvovanie diagnostiki i optimizatsiya lecheniya bol'nykh s ostroi spaechnoi tonkokishechnoi neprokhodimost'yu. Avtoref. dis. … kand. med. nauk [Improved diagnostics and optimization of treatment of patients with acute adhesive intestinal obstruction. Author’s abstract]. Kazan, 2009. 21 p.Shaidulin S.V., Dmitriev Yu.V. Diagnostika i lechenie spaechnoi neprokhodimosti u detei. Maloinvazivnaya khirurgiya v respublike Belarus'. Mat-ly respublikanskoi nauchno-prakticheskoi konferentsii [Diagnosis and treatment of adhesive obstruction in children. Minimally invasive surgery in the Republic of Belarus. Materials of the republican scientific-practical conference]. Belarus, Gomel, 2002. P. 144–147.Shaidulin S.V., Dmitriev Yu.V. Diagnostika i lechenie spaechnoi neprokhodimosti u detei. Maloinvazivnaya khirurgiya v respublike Belarus'. Mat-ly respublikanskoi nauchno-prakticheskoi konferentsii [Diagnosis and treatment of adhesive obstruction in children. Minimally invasive surgery in the Republic of Belarus. Materials of the republican scientific-practical conference]. Belarus, Gomel, 2002. P. 144–147.Bologna Guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO). World J. Emerg. Surg. 2013;8(1):42.Bologna Guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO). World J. Emerg. Surg.. 2013; 8 (1): 42.Timofeev M.E., Fedorov E.D., Bachurin A.N. Laparoscopic resolution of acute adhesive intestinal obstruction, the cause of which was the previously transferred laparoscopic appendectomy. Endoskopicheskaya khirurgiya = Endoscopic surgery. 2014;1:48–51.Timofeev M.E., Fedorov E.D., Bachurin A.N. Laparoscopic resolution of acute adhesive intestinal obstruction, the cause of which was the previously transferred laparoscopic appendectomy. Endoskopicheskaya khirurgiya = Endoscopic surgery. 2014; 1: 48–51.Timofeev M.E., Shapoval'yants S.G., Fedorov E.D. Application of laparoscopy in diagnosis and treatment of acute adhesive intestinal obstruction in patients without surgeries in the abdominal cavity. Khirurg (Ryazan') = Surgeon (Ryazan). 2013;9:11.Timofeev M.E., Shapoval'yants S.G., Fedorov E.D. Application of laparoscopy in diagnosis and treatment of acute adhesive intestinal obstruction in patients without surgeries in the abdominal cavity. Khirurg (Ryazan') = Surgeon (Ryazan). 2013; 9: 11.Karbovskii M.Yu. Problema spaechnoi bolezni posle khirurgicheskogo lecheniya spaechnoi kishechnoi neprokhodimosti. Avtoref. dis. … kand. med. nauk [The problem of disease after surgical treatment of adhesive intestinal obstruction. Author’s abstract]. Yaroslavl, 2005. 28 p.Karbovskii M.Yu. Problema spaechnoi bolezni posle khirurgicheskogo lecheniya spaechnoi kishechnoi neprokhodimosti. Avtoref. dis. … kand. med. nauk [The problem of disease after surgical treatment of adhesive intestinal obstruction. Author’s abstract]. Yaroslavl, 2005. 28 p.Verbitskii D.A. Primenenie gelya karboksimetiltsellyulozy dlya profilaktiki spaikoobrazovaniya v bryushnoi polosti. Avtoref. dis. … kand. med. nauk [Use of carboxymethylcellulose gel for the prevention of adhesions in the abdominal cavity. Author’s abstract]. St. Petersburg, 2004. 20 p.Verbitskii D.A. Primenenie gelya karboksimetiltsellyulozy dlya profilaktiki spaikoobrazovaniya v bryushnoi polosti. Avtoref. dis. … kand. med. nauk [Use of carboxymethylcellulose gel for the prevention of adhesions in the abdominal cavity. Author’s abstract]. St. Petersburg, 2004. 20 p.Simonyan K.S. Spaechnaya bolezn' [Adhesive Disease]. Moscow, Meditsina, 1966. 250 p.Simonyan K.S. Spaechnaya bolezn' [Adhesive Disease]. Moscow, Meditsina, 1966. 250 p.Zhenchevskii R.A. Spaechnaya bolezn' [Adhesive Disease]. Moscow, Meditsina, 1999. 135 p.Zhenchevskii R.A. Spaechnaya bolezn' [Adhesive Disease]. Moscow, Meditsina, 1999. 135 p.Goryainov V.F. Ostraya spaechnaya kishechnaya neprokhodimost' u detei. Avtoreferat dis. … kand. med. nauk [Acute adhesive intestinal obstruction in children. Author’s abstract]. Moscow, 1977. 18 p.Goryainov V.F. Ostraya spaechnaya kishechnaya neprokhodimost' u detei. Avtoreferat dis. … kand. med. nauk [Acute adhesive intestinal obstruction in children. Author’s abstract]. Moscow, 1977. 18 p.Shapoval'yants S.G., Larichev S.E., Timofeev M.E. Laparoscopic intervention in acute adhesive intestinal obstruction. Endoskopicheskaya khirurgiya = Endoscopic surgery. 2014;1:48–51.Shapoval'yants S.G., Larichev S.E., Timofeev M.E. Laparoscopic intervention in acute adhesive intestinal obstruction. Endoskopicheskaya khirurgiya = Endoscopic surgery. 2014; 1: 48–51.

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