Диагностика и лечение синдрома кишечной недостаточности у больных с острым панкреатитом (обзор)

The syndrome of intestinal insufficiency (SII) is accompanied during acute pancreatitis in 18-80% of cases and by increasing the permeability barrier of the intestinal wall results in potentiation of systemic endotoxemia, which greatly complicates the course of the disease. However, for the moment remain open questions timely diagnosis SII in patients with acute pancreatitis based on the use of simple, non-invasive and informative method for determining the functional disorders of the bowel. To date, each of the methods of diagnosis used SII (clinical, ultrasound and X-ray examination of the intestinal tract, peripheral computer electrogastroenterografiya and bacteriological examination of feces) has a number of shortcomings, which preserves some difficulties in the interpretation of their results. Remain controversial issues of effective treatment SII, based on the application of methods of stimulating the motor-evacuation function of the intestine, early enteral feeding and decontamination of the digestive tract. Insufficiently explored a combination of methods, start time and duration of their use, and multiple doses. All this necessitates the development of new methods of diagnosis and refinement algorithm SII its treatment.