PREVENTION OF SIDE EFFECTS AND COMPLICATIONS AFTER OPERATION FOR PARTIAL ILEAL BYPASS

• Main Authors: K. K. Mirchuk, Yu. I. Sedletskiy
• Format: Article
• Language: Russian
• Published: Pavlov First Saint Petersburg State Medical University 2018-01-01
• Series: Вестник хирургии имени И.И. Грекова
• Subjects: атеросклероз; частичное илеошунтирование; послеоперационные осложнения; atherosclerosis; partial ileal bypass; complications
• Online Access: https://www.vestnik-grekova.ru/jour/article/view/474

Side effects and complications of the application of partial ileal bypass used for dislipidemia were analyzed in 162 patients with atherosclerosis. It was shown, that the partial ileal bypass operation could lead to the development of series of undesirable side effects such as diarrhea, hypovitaminosis B12, off-state intestine enteritis. The application of modification of partial ileal bypass such as formation of ileo-ileoanastomosis 5–6 cm long near ileocecal valve with the maintenance of its functions disposed the diarrhea and minimized the risk of the development of hypovitaminosis B12 after operation. It is possible to prevent the development of enteritis of off-state loop of the small intestine by using microanastomosis between off-state and functioning iliac intestine. The partial ileal bypass operation didn’t influence on body weight, wouldn’t increase the risk of stone formation in the gallbladder and kidneys. The risk of the development of hypovitaminosis B12 is minimal after operation.