A.V. PIKUZA¹, L.F. RASHITOV²

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Kazan (Volga) Federal University, 74 Karl Marx Str., Kazan, Russian Federation, 420012

 Pikuza A.V. — Cand. Med. Sc., Associate Professor of the Department of Surgical Diseases No. 1, tel. 236-06-52, e-mail: rashlen@gmail.com

Rashitov L.F. — Cand. Med. Sc., Associate Professor, Head of the Department of Emergency Medical Aid and Simulation Medicine, tel. +7-927-240-50-18, e-mail: rashlen@gmail.com

 The article reflects the modern approaches to diagnosis of partial commissural intestinal obstruction with differentiation of patients into groups. The main group consisted of patients with partial commissural intestinal obstruction, who in the postoperative period, along with the traditional drugs, were prescribed a multi-probiotic containing Lactobacillus casei, Lactobacillus plantarum, Lactobacillus rhamnosus, Lactobacillus fermentum, Lactobacillus acidophilus, Bifidobacterium infantis, Bifidobacterium longum, Bifidobacterium bifidum, Bifidobacterium breve, Lactococcus lactis ssp. lactis, Streptococcus thermophilus, Lactobacillus bulgaricus, Lactobacillus helveticus, Lactobacillus salivarius. The patients of the comparison group received traditional treatment in the postoperative period. All patients were examined for peripheral blood endotoxin concentration. At the level of endotoxin (47.3 ± 0.36 EU / ml), entering the systemic circulation, the commissural process in the abdominal cavity was diagnosed in all cases. The registration of the concentration of antibodies to intestinal symbionts confirmed the value of the «Micro-LAL-test» used in the work as a prognostic criterion for the effectiveness of the treatment measures. The research scientifically proved the positive effect of inclusion of a multi-probiotic in the complex of postoperative treatment in patients operated for partial commissural intestinal obstruction.

Key words: diagnostics, correction, children, patients, commissural intestinal obstruction

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