M.M. MINNULLIN¹, D.M. KRASILNIKOV², А.P. TOLSTIKOV¹

¹Republican Clinical Hospital of the Ministry of Health of the Tatarstan Republic, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

Minnullin M.М. — Cand. Med. Sc., First Deputy Chief Doctor, tel. (843) 231-20-60, e-mail: [email protected]

Krasilnikov D.М. — D. Med. Sc., Professor, Head of the Surgery Department №1, tel. (843) 231-20-57, e-mail: [email protected]

Tolstikov A.Р. — Cand. Med. Sc., surgeon, tel. (843) 231-21-66, e-mail: [email protected]

The results of treatment of 546 patients with an acute intestinal obstruction are presented.. The diagnostic algorithm, as well as techniques for choosing the optimal surgical treatment of this pathology, are described. The modern principles of diagnostics and surgical treatment of an acute intestinal obstruction of a tumor genesis, adhesive and strangulated bowel obstruction are formulated. The endoscopic catheter contrast enterography is essential for the diagnosing of acute adhesive small bowel obstruction, and emergency colonoscopy is essential for the diagnosing of acute large bowel obstruction. The main criteria for choosing the volume and type of operation are the widespread peritonitis, and the stage of blastomatous process. Extraperitonization of the intestinal anastomosis reduces the frequency of sutures defects.

Key words: acute intestinal obstruction, adhesions, intestine tumors, diagnostics, surgical treatment.

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