eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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4/2023
vol. 18
 
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abstract:
Original paper

A forecasting method of postoperative intestinal paralysis and its timely resolution

Valentin Madyarov
1
,
Marat Kuzikeev
1
,
Maulen Malgazhdarov
1
,
Yestay Abzalbek
2
,
Gulmamed Ashimov
3

1.
Department of Surgeons with Anaesthesiology and Intensive Care, Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan
2.
Department of Oncology, Central Clinical Hospital, Almaty, Republic of Kazakhstan
3.
Surgical Department, Medical Centre Rahat, Almaty, Republic of Kazakhstan
Gastroenterology Rev 2023; 18 (4): 393–401
Online publish date: 2023/11/22
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Introduction
The development of intestinal paresis after surgery in patients with acute surgical conditions complicated by peritonitis is an urgent problem of abdominal surgery.

Aim
To study the effectiveness of the developed methods, as well as to predict the risk of intestinal paresis, and establish the possibilities of correcting this condition in patients with acute surgical pathology complicated by peritonitis.

Material and methods
Twenty patients were examined, in whom the temperature parameters of the mucous membrane and skin of the cheek were measured, based on which the probability of developing paresis was predicted.

Results
The proposed method of thermometry of the mucous membrane and cheek skin made it possible to predict a high risk of intestinal paresis in 75% of patients and low risk in 25% of patients. It was shown that 80% of patients had a complete restoration of intestinal motility on the first day after the start of treatment. In 20% of cases, a partial improvement in the motor evacuation function of the intestine was observed on the first day, and full recovery was noted on the second day after the start of therapy.

Conclusions
The developed methods are highly effective and suitable for predicting and correcting intestinal paresis in patients with acute surgical conditions in the postoperative period.

keywords:

laparotomy, intestinal paresis, peritonitis, postoperative atony, intestinal peristalsis

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