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Selective Polygraphy and Resonant Stimulation of Digestive Tract in Early Postoperative Period in Peritonitis

https://doi.org/10.15360/1813-9779-2016-2-90-99

Abstract

The aim of the study was to demonstrate the effectiveness of the method of selective polygraphy and resonance stimulation of gastrointestinal tract (GIT) in the complex intensive therapy in early postoperative period in a patient with acute intestinal obstruction complicated by peritonitis.

Materials and methods. The patient L., female, 52 years old, had numerous operations, because of small intestine obstruction complicated by serousfibrinous peritonitis in early postoperative period (7 days after the first surgery). Patient was performed with a longlasting diagnosis procedure followed by the GIT resonant stimulation to restore the motorevacuation function of GIT. An electrogastroenterography device was employed that was approved for clinical use by the Ministry of Healthcare Industry № 226819, 1998).

Results. The amplitude of the oscillations due to resonant effects on the excitable structures gradually increased from 8—22 mkV to 20—44 mkV that indicates the increase of the numbers of passive structures in smooth muscles of the stomach and the jejunum). At the end of three final sessions the amplitudes of the signals (specific reactions) demonstrated the following values: 93 mkV, 88 mkV, 90 mkV, 87 mkV (for the stomach, duodenum, jejunum and ileum, and large intestines, respectively).

Conclusion. These values and activity after the stimulation corresponded to the normal GIT motility.

About the Authors

I. G. Bobrinskaya
A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of Russia V. A. Negovsky Research Institute of General Reanimatology
Russian Federation

Department of Anesthesiology and Intensive Care Medical Faculty; 20, Delegatskaya Str., Build 1, Moscow 127473, Russia

25, Petrovka Str., Build. 2, Moscow 107031, Russia



V. V. Moroz
A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of Russia V. A. Negovsky Research Institute of General Reanimatology
Russian Federation

Department of Anesthesiology and Intensive Care Medical Faculty; 20, Delegatskaya Str., Build 1, Moscow 127473, Russia

25, Petrovka Str., Build. 2, Moscow 107031, Russia



V. N. Yakovenko
A. A. Vishnevsky Institute of Surgery
Russian Federation
27, Bolshaya Serpukhovskaya Str., 115093 Moscow, Russia


O. N. Kudryakov
State clinical hospital № 5
Russian Federation
7, Strominka Str., 107014 Moscow, Russia


E. A. Spiridonova
A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of Russia
Russian Federation
Department of Anesthesiology and Intensive Care Medical Faculty; 20, Delegatskaya Str., Build 1, Moscow 127473, Russia


V. Y. Soldatova
A. I. Evdokimov Moscow State University of medicine and dentistry, Ministry of Health of Russia
Russian Federation
Department of Anesthesiology and Intensive Care Medical Faculty; 20, Delegatskaya Str., Build 1, Moscow 127473, Russia


References

1. Komarov F.I., Grebenev A.P. (red.). Rukovodstvo po gastroenterologii. [Manual of gastroenterology]. Moscow: Meditsina Publishers; 1996: 720. [In Russ.]

2. Ivashkin V.T., Trukhmanov A.S., Maev I.V. Fiziologicheskie osnovy motorno evakuatornoi funktsii pishchevaritelnogo trakta. [Physiological bases for motor and evacuatory function of the gut]. Rossiisky Zhurnal Gastroenterologii, Gepatologii, Koloproktologii. 2007; 17 (5): 1–11. [In Russ.]

3. Malkov I.S., Biryaltsev V.N., Filippov V.A., Berdnikov A.V. Otsenka elektromiograficheskoi aktivnosti zheludochnokishechnogo trakta u bolnykh ostrym razlitym peritonitom. [Evaluation of the electromyographic activity of the gastrointestinal tract in patients with acute generalized peritonitis]. Annaly Khirurgii. 2004; 6: 66–69. [In Russ.]

4. Stupin V.A., Smirnova G.O., Baglaenko M.V., Siluyanov S.V., Zakirov D.B. Perifericheskaya elektrogastroenterografiya v klinicheskoi praktike. [Peripheral electrogastroenterography in clinical practice]. Lechashchy Vrach. 2005; 2: 60–62. [In Russ.]

5. Mythen M.G. Postoperative gastrointestinal tract dysfunction. Anesth. Analg. 2005; 100 (1): 196–204. http://dx.doi.org/10.1213/01.ANE.0000139376.45591.17. PMID: 15616078

6. Worsøe J., Fynne L., Gregersen T., Schlageter V., Christensen L.A., Dahlerup I.F., Rijkhoff N.I., Laurberg S., Krogh K. Gastric transit and small intestinal transit time and motility assessed by a magnet tracking system. BMC Gastroenterol. 2011; 11: 145. http://dx.doi.org/10.1186/1471230X11145. PMID: 22206545

7. Fassov J., Lundby L., Wørsee J., Buntzcn S., Laurbergl S., Krogh K. A randomized controlled study of small intestinal motility in patients treated with sacral nerve stimulation for irritable bowel syndrome. BMC Gastroenterol. 2014; 14: 111. PMID: 24965754

8. Zherlov G.K., Kozlov S.V., Karas R.S. Otsenka effektivnosti avtonomnoi elektrostimulyatsii v lechenii gastroezofagelnoi reflyuksnoi bolezni. [Estimation of efficacy of autonomous electrostimulation in treatment of gastroesophageal reflux disesase]. Meditsinskaya Nauka i Obrazovanie Urala. 2008; 9 (3): 62–64. [In Russ.]

9. Zhukovsky V.D. Meditsinskie elektronnye sistemy. [Medical electronic systems]. Moscow: Meditsina Publishers; 1976: 35. [In Russ.]

10. Stupin V.A., Baglaenko M.V., Siluyanov S.V., Zakirov D.B., Smirnova G.O. Perifericheskaya elektrogastroenterografiya v diagnostike gastrostaza posle operativnogo lecheniya yazvennoi bolezni. [Peripheral electrogas troenterography in the diagnosis of gastrostasis after surgical treatment of peptic ulcer]. Rossiisky Meditsinsky Zhurnal. 2005; 3: 23–27. [In Russ.]

11. Nogtev P.V., Chilingaridi K., Yakovenko V.N. Novyi metod v kompleksnom lechenii spaechnoi kishechnoi neprokhodimosti. [A new method in the complex treatment of adhesive ileus]. Vrach. 2010; 3: 73–76. [In Russ.]

12. Smirnova V.I., Kovaleva I.G., Yakovenko V.N. Parez zheludochno kishechnogo trakta v khirurgii i metody ego lecheniya. [Gastrointestinal tract paralysis in surgery and methods for its treatment]. Anesteziologiya i Reanimatologiya. 1995; 6: 71–73. PMID: 8713427. [In Russ.]

13. Bobrinskaya I.G., Livanov A.S., Yakovenko V.N., Gutova E.V., Maksimtseva E.A. Rol selektivnykh elektrofiziologicheskikh metodov diagnostiki i lecheniya narushenii motornoi funktsii ZhKT u bolnykh s ekzogennymi otravleniyami psikhotropnymi preparatami. [Role of selective electrophysiological methods of diagnosis and treatment of gastrointestinal function disturbances in patients with exogenous psychotropic drugs poisoning]. Vestnik Intensivnoi Terapii. 2013; 4: 24–30. [In Russ.]

14. Yakovenko V.N., Shulgina N.M. Mekhanizmy generatsii medlennykh sostavlyayushchikh bioelektricheskoi aktivnosti v diagnostike i korrektsii funktsionalnogo sostoyaniya organov ZhKT. [Mechanisms of generation of slow elements of bioelectrical activity in diagnosis and treatment of functional state of gastrointestinal organs]. Mezhdunarodnyi Meditsinsky Zhurnal. 2000; 9 (3): 228–233. [In Russ.]


Review

For citations:


Bobrinskaya I.G., Moroz V.V., Yakovenko V.N., Kudryakov O.N., Spiridonova E.A., Soldatova V.Y. Selective Polygraphy and Resonant Stimulation of Digestive Tract in Early Postoperative Period in Peritonitis. General Reanimatology. 2016;12(2):90-99. https://doi.org/10.15360/1813-9779-2016-2-90-99

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ISSN 1813-9779 (Print)
ISSN 2411-7110 (Online)