METHOD OF INTRAOPERATIVE AND POSTOPERATIVE MANAGEMENT OF ACUTE INTESTINAL OBSTRUCTION OF TUMOUR AETIOLOGY Russian patent published in 2012 - IPC A61M25/00 A61K31/7004 A61K38/01 A61K31/715 A61P3/02 A23L1/29 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to abdominal surgery and oncology, and may be used for treating patients with tumour intestinal obstruction. The method involves gastrointestinal decompression, active lavage, enterosorption, enteral nutrition. The enteral therapy is intraoperative. The minimum early enteral nutrition is prescribed on the first postoperative day and thereafter; adequate tolerance of the probe nutrition and the presence of minimum excretion allows alternation of various formulae for enteral nutrition. On the first postoperative day, a monomer formula with added 20% Nutriene Elemental 200 ml is introduced. On the second day, Nutriene Elemental is introduced in the volume of 10 kcal/day. On the third day, Nutrisone Standard is introduced in the volume of 15 kcal/day. On the forth day, the formula Nutrisone Energia with dietary fibres is introduced in the volume of 20 kcal/day. On the fifth day, after the nasointestinal probe has been removed and unassisted stool is observed, Pevzner's therapeutic diet No.1 which is added by the introduction of the formula Nutrisone Energia with dietary fibres by sipping method.

EFFECT: method provides clinical effectiveness including ensured by correction of protein-calorie and intestinal insufficiency in the patients with acute intestinal obstruction of tumour aetiology.

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