PREVENTION OF SMALL INTESTINE BACTERIAL OVERGROWTH SYNDROME AFTER RIGHT HEMICOLECTOMY FOR COLON CANCER
https://doi.org/10.17650/2220-3478-2017-7-4-54-63
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.About the Authors
V. L. Martynov
City Clinical Hospital No. 12 of the Sormovo District
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
A. G. Semenov
City Clinical Hospital No. 12 of the Sormovo District
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
V. N. Rulyov
City Clinical Hospital No. 12 of the Sormovo District
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
A. A. Tulupov
City Clinical Hospital No. 12 of the Sormovo District
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
V. A. Kurilov
City Clinical Hospital No. 12 of the Sormovo District
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
Russian Federation
8 Pavla Mochalova St., Nizhny Novgorod 603003
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