Инновационная медицина Кубани (Feb 2019)
METABOLISM IN VARIOUS EMBODIMENTS, THE RECOVERY OF THE DIGESTIVE SYSTEM IN PATIENTS AFTER GASTRECTOMY
Abstract
Despite the relative decline in the incidence of cancer in Russia, stomach cancer continues to occupy the sixth place in the structure of cancer mortality. The surgical method is the main one in treatment, most often a gastrectomy with enlarged lymphodissection (D2) is performed. There remains the question of which method of digestive system reconstruction after gastrectomy that will provide a good quality of life and social rehabilitation of patients. Loop esophagoenteroanastomosis with intestinal system is the most simple option to restore the digestive system in which the passage of food off the duodenum, which in some patients leads to disruption of metabolic processes and development postgastrectomy functional disorders. To reduce the frequency of these problems using the recovery after gastrectomy physiological passage of food through the duodenum.Objective. To study the characteristics of protein and carbohydrate metabolism in patients after gastrectomy and petilium option esophagoenteroanastomosis and reservoir enogastronomici with redoutensale.Material and Methods. Using samples with a double load Staube–Traugott, hyperglycemic coefficient Bowden, determining the level of total blood protein and albumin-globulin ratio, were studied peculiarities of metabolic processes after gastrectomy in 25 patients, digestive system that was restored loop method esophageal-intestinal anastomosis and in 23 patients – enogastronomici.Results. It was established an advantage in the recovery of protein and carbohydrate metabolism in the group of patients with a reservoir enogastronomico after 3 months after surgery. Tank possible small bowel transplant, replacement remote stomach and the reconstruction of the duodenal passage is allowed to eat more food in single dose (530 ± 80 ml) than after loop reconstruction method (380 ± 50 ml).Conclusion. The best characteristics of protein and carbohydrate metabolism, as well as a good reservoir function of the proposed method gastric replacement with small intestine can achieve the optimum recovery of metabolic processes and to improve the quality of life of patients after gastrectomy.
