PREVENTION OF SMALL INTESTINE BACTERIAL OVERGROWTH SYNDROME AFTER RIGHT HEMICOLECTOMY FOR COLON CANCER

Abstract

Background. One of the reasons of the small intestinal bacterial overgrowth syndrome (SIBOS) is excision of a bauginiyev valve at a rightsided hemicolectomy both in planned and in the emergency order that demands not only restoration of continuity of an intestinal tube, but also a restore of the lost function of the ileocecal valval system.Objective: to develop safe, effective and generally available areflux thin-colonic anastomoses for use in planned (primary anastomosis) and emergency (delayed compression anastomosis) surgery.Materials and methods. New ways of formation the areflux thin-colonic anastomoses in the conditions of the emergency and planned surgery for prophylaxis of development of the SIBOS in a small intestine are suggested. The efficacy of the anastomoses is confirmed by the hydrogen breathing test.Results. A right-sided hemicolectomy at 20 patients with primary anastomosis without areflux structure resulted in 60 % of cases to development of SIBOS in a small intestine, at 19 patients with primary anastomosis with formation of the areflux structure reduced risk of development of the SIBOS to 16 %. When forming of the delayed areflux compression thin-colonic anastomosis by the author’s technique the SIBOS did not develop at 72 % of patients.Conclusions. Bauginiyev valve is an important structure of the human body, whose areflux function must be modeled when right-sided hemicolectomy is performed.

Keywords

• right-sided hemicolectomy
• thin-colonic anastomosis
• small intestinal bacterial overgrowth syndrome