PREVENTION OF SIDE EFFECTS AND COMPLICATIONS AFTER OPERATION FOR PARTIAL ILEAL BYPASS
https://doi.org/10.24884/0042-4625-2014-173-1-034-038
Abstract
Side effects and complications of the application of partial ileal bypass used for dislipidemia were analyzed in 162 patients with atherosclerosis. It was shown, that the partial ileal bypass operation could lead to the development of series of undesirable side effects such as diarrhea, hypovitaminosis B12, off-state intestine enteritis. The application of modification of partial ileal bypass such as formation of ileo-ileoanastomosis 5–6 cm long near ileocecal valve with the maintenance of its functions disposed the diarrhea and minimized the risk of the development of hypovitaminosis B12 after operation. It is possible to prevent the development of enteritis of off-state loop of the small intestine by using microanastomosis between off-state and functioning iliac intestine. The partial ileal bypass operation didn’t influence on body weight, wouldn’t increase the risk of stone formation in the gallbladder and kidneys. The risk of the development of hypovitaminosis B12 is minimal after operation.
About the Authors
K. K. Mirchuk
State Pavlov Medical University
Russian Federation
Russian Federation
Yu. I. Sedletskiy
State Pavlov Medical University
Russian Federation
Russian Federation
References
1. Мирчук К. К. Хирургическая коррекция дислипопротеидемий в лечении больных атеросклерозом: Автореф. дис. … д-ра мед.наук. СПб., 2007. 38 с.
2. Седлецкий Ю. И., Мирчук К. К. Способ лечения нарушений липидного обмена. Патент на изобретение № 2212851 от 27.09.2003.
3. Седлецкий Ю. И., Лебедев Л. В., Мирчук К. К. Хирургическое лечение ожирения и дислипидемий. СПб.: Гиппократ, 2005. 246 с.
4. Седов В. М., Мирчук К. К., Седлецкий Ю. И. и др. Динамика состояния коронарного русла у больных с ишемической болезнью сердца после хирургической коррекции дислипопротеидемии // Вестн. хир. 2005. № 4. С. 16–21.
5. Седов В. М., Мирчук К. К., Седлецкий Ю. И. Хирургическая коррекция дислипопротеидемии в лечении больных ишемической болезнью сердца // Мед. акад. журн. 2007. № 1. С. 117–126.
6. едов В. М., Мирчук К. К., Седлецкий Ю. И. Отдалённые результаты хирургической коррекции дислипопротеидемии у больных с облитерирующим атеросклерозом сосудов нижних конечностей // Вестн. хир. 2010. № 1. С. 101–107.
7. Buchwald H., Boen J. R., William S. E. POSCH: 20 years follow-up // Atherosclerosis. 1997. Vol. 134, № 1–2. Р. 1.
8. Buchwald H., Moore R. B., Vargo R. L. Surgical treatment of hyperlipidemia // Circulation. 1974. Vol. 49, № 5, suppl. I. P. 37–77.
9. Nygaard K., Helsinger N. J., Rootwelt K. Adaption of vitamin B12 absorption after ileal bypass // Scand. J. Gast. 1970. № 5. Р. 349.
10. Sodal G., Gjersten K. T., Schrumpf A. Surgical treatment of hypercholesterolemia // Acta Chir. Scan. 1970. Vol. 136. P. 671.
11. Uchida Y., Satoh T., Ogura Y. et al. Effect of partial ileal bypass on cholesterol and bile acid metabolism in rats // Yonago Acta medica. 2001. Vol. 44. P. 69–77.
Review
For citations:
Mirchuk K.K., Sedletskiy Yu.I. PREVENTION OF SIDE EFFECTS AND COMPLICATIONS AFTER OPERATION FOR PARTIAL ILEAL BYPASS. Grekov's Bulletin of Surgery. 2014;173(1):034-038. (In Russ.) https://doi.org/10.24884/0042-4625-2014-173-1-034-038
Views:
418
Email this article 