References

grekov

Вестник хирургии имени И.И. Грекова

Grekov's Bulletin of Surgery

0042-46252686-7370

Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia

10.24884/0042-4625-2019-178-3-64-68

grekov-1101

Research Article

ОБЗОРЫ

REVIEWS

АКТУАЛЬНОСТЬ РАННИХ СРОКОВ ФОРМИРОВАНИЯ ЧРЕСКОЖНОЙ ЭНДОСКОПИЧЕСКОЙ ГАСТРОСТОМЫПОСЛЕ ИНСУЛЬТА, ОСЛОЖНЕННОГО ТЯЖЕЛОЙ НЕЙРОГЕННОЙ ОРОФАРИНГЕАЛЬНОЙ ДИСФАГИЕЙ (обзор литературы)

The relevance of the early terms of the formation of percutaneous endoscopic gastrostomy after a stroke complicated by severe neurogenic oropharyngeal dysphagia (review of the literature)

Голубев

К. В.

Golubev

K. V.

дежурный хирург отделения общей хирургии

194354, Россия, Санкт-Петербург, пер. Учебный, д. 5

Duty surgeon, department of general surgery.

Attaching to the department for writing a thesis for the degree of сandidate of Medical Sciences

5 Uchebnii street, St. Petersburg, Russia, 194354

kirill_golubev@inbox.ru

Топузов

Э. Э.

Topuzov

E. E.

д-р мед. наук, профессор, зав. кафедрой госпитальной хирургии им. В. А. Оппеля

195067, Россия, Санкт-Петербург, Пискаревский пр., д. 47

Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery. V.A. Oppelya

eltop@inbox.ru

Олейник

В. В.

Oleynik

V. V.

д-р мед. наук, профессор, зав. отделением общей хирургии

194354, Россия, Санкт-Петербург, пер. Учебный, д. 5;

Doctor of Medical Sciences, Professor, Head of the Department of General Surgery

5 Uchebnii street, St. Petersburg, Russia, 194354

oleiniki@inbox.ru

Горчаков

С. В.

Gorchakov

S. V.

канд. мед. наук, хирург отделения общей хирургии

194354, Россия, Санкт-Петербург, пер. Учебный, д. 5;

Candidate of Medical Sciences, surgeon, department of general surgery

5 Uchebnii street, St. Petersburg, Russia, 194354

ncage@mail.ru

Санкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияSt. Petersburg State Budgetary Healthcare Institution "City Multi-Profile Hospital No. 2"Russian Federation

Федеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Educational Institution of Higher Education "North-Western State Medical University named after I. I. Mechnikov" of the Ministry of Health of the Russian FederationRussian Federation

Санкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияSt. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital No. 2"Russian Federation

2019

28062019

17836468

2019

Голубев К.В., Топузов Э.Э., Олейник В.В., Горчаков С.В.

Golubev K.V., Topuzov E.E., Oleynik V.V., Gorchakov S.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.vestnik-grekova.ru/jour/article/view/1101

Нейрогенная орофарингеальная дисфагия (НОД) является частым осложнением после инсульта, определяющим дальнейший прогноз и качество жизни, вызывая ряд серьезных осложнений. Пациентам с тяжелой НОД рекомендовано энтеральное питание через назогастральный зонд (НГЗ) c последующим формированием чрескожной эндоскопической гастростомы (ЧЭГ). Длительное использование НГЗ имеет свои осложнения – синусит, гастроэзофагеальный рефлюкс, аспирационная пневмония и т. д., в связи с чем оно должно быть лимитировано по срокам. В различных рекомендациях длительность сроков до формирования ЧЭГ остается дискутабельной. На основании литературных данных выполнен анализ современной тактики ЧЭГ у пациентов после остро развившейся тяжелой НОД.

Neurogenic oropharyngeal dysphagia (NOD) was a frequent complication after a stroke, determining the further prognosis and quality of life, causing a number of serious complications. Patients with severe NOD was recommended enteral feeding through the nasogastric tube (NGT) with the subsequent formation of a percutaneous endoscopic gastrostomy (PEG). Prolonged use of NGT had its own complications – sinusitis, gastroesophageal reflux, aspiration pneumonia, etc., and therefore it should be limited in time. In various recommendations, the length of terms before the formation of the PEG remained controversial. The analysis of modern tactics of PEG in patients after severely developed NOD was performed on the basis of literature data.

инсультнейрогенная орофарингеальная дисфагиячрескожная эндоскопическая гастростома

strokeneurogenic oropharyngeal dysphagiapercutaneous endoscopic gastrostomy

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