Drug correction of intestinal motility disorders in intensive care in the postoperative period in surgical patients.

Authors

  • L. V. Novitskaya-Usenko
  • S. G. Dyomin

DOI:

https://doi.org/10.26641/2307-0404.2015.1.40238

Keywords:

postoperative intestinal ileus, L-arginine, circulatory dynamics, inflammation

Abstract

Aim: improving the results of the complex treatment of patients with surgical pathology of abdominal organs by improving prevention and treatment of motor-evacuation disorders of the gastrointestinal tract in the postoperative period. Results: the article presents data on the use of metoclopramide, L- ar­ginine, simethicone for the prevention of postoperative dysmotility development. It is proved that L-arginine use reduces the effects of peripheral vasospasm by improving microcirculation of the intestinal wall and this leads to a more rapid recovery of motor-evacuation function of the gastrointestinal tract.

Author Biographies

L. V. Novitskaya-Usenko

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

S. G. Dyomin

MI «Dnipropetrovsk city clinical hospital N 6» of Dnipropetrovsk Regional Council 2
Dnipropetrovsk, 49000, Ukraine

References

Kalinin AB., Butrova LI. [Espumizan use for normalization of intestinal motor function in post-operative paresis]. Consilium medicum. Gastroenterologiya. 2006;2:64-68. Russian. 2. Kolosovskikh A, Kan SL, Churlyaev YuA, Zoloeva OS. [Functional state of intestinal microcirculation in diffuse peritonitis]. Obshchaya reanimatologiya. 2012;8(2):33-37. Russian. 3. Ngowe MN, Eyenga MN, Ngowe VC. Chewing gum reduces postoperative ileus after open appendectomy. Acta Chir Belg. 2010;110:195–9. 4. Elsner JL, Smith JM, Ensor CR. Intravenous neo¬stigmine for postoperative acute colonic pseudo-obstruc¬tion. Ann Pharmacother. 2012;46:430-5. 5. Kuruba R, Fayard N, Snyder D. Epidural anal¬gesia and laparoscopic technique do not reduce incidence of prolonged ileus in elective colon resections. Am J Surg. 2012;204:613-8. 6. Johnson MD, Walsh RM. Current therapies to shor¬ten postoperative ileus. Cleve Clin J Med. 2009;76:641–8. 7. van Bree SH, Nemethova A, Cailotto C, Gomez-Pinilla PJ. New therapeutic strategies for postoperative ileus. Nat Rev Gastroenterol Hepatol. 2012;9(11):675-83. 8. Procacciante F, De Luca M, Abilaliaj V. Post-operative ileus in hemicolectomy for cancer: open versus laparoscopic approach.Ann Ital Chir. 2013;84:557-62. 9. Gao Z, Muller MH, Karpitschka M, Mittler S. Role of the vagus nerve on the development of post¬ope¬rative ileus. Langenbecks Arch Surg. 2010;395:407-11.

Downloads

Published

2015-03-16

How to Cite

1.
Novitskaya-Usenko LV, Dyomin SG. Drug correction of intestinal motility disorders in intensive care in the postoperative period in surgical patients. Med. perspekt. [Internet]. 2015Mar.16 [cited 2024Dec.27];20(1):41-8. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/40238

Issue

Vol. 20 No. 1 (2015)

Section

CLINICAL MEDICINE

License

Copyright (c) 2017 Medical Perspectives

Creative Commons License

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

Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.

Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.