Application of small intestine double stoma and succus entericus reinfusion in the patients with severe intra-abdominal infection
10.3760/cma.j.issn.1671-0274.2015.07.009
- VernacularTitle:小肠双造口和肠液回输在重度腹腔感染患者的应用
- Author:
Jinguo ZHU
1
;
Jian WANG
;
Yuan HE
;
Haiwen ZHUANG
;
Jinyun YANG
Author Information
1. 223300,江苏省淮安市第二人民医院胃肠外科
- Keywords:
Intestinal perforation;
Intra-abdominal infection;
Small intestine double stoma;
Succus entericus reinfusion
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(7):667-670
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application of small intestine double stoma and succus entericus reinfusion in the patients with severe intra-abdominal infection. Methods Ten patients with high intestinal perforation from February 2005 to November 2014 were enrolled in the study. All the cases received emergency operation. Small bowel with intestinal perforation was resected, and double stoma was applied in the proximal and distal small intestine. When abdominal infection under control, total enteral nutrition was successfully administered from nasogastric tube. The succus entericus from the proximal intestine was collected and transfused back to the distal intestine. Stool was collected and fecal nitrogen, fat and carbohydrate contents were determined. Related serum protein levels were measured. Results As compared to pre-reinfusion, the absorption rate of carbohydrate [(90.9±7.8)% vs. (82.7± 15.2)%], fat [(87.6±6.4)% vs. (59.1±10.8)%], and nitrogen [(82.4±9.8)% vs. (67.2±15.4)%] increased after succus entericus reinfusion (P<0.05). The serum protein levels increased significantly as well[fibronectin:(285.6±3.6) vs. (157.0±22.6) mg/L, P<0.01﹔transferrin:(4.86±0.21) vs. (3.60± 0.25) g/L,P<0.05﹔pre-albumin:(291.3±112.5) vs. (199.1±53.3) mg/L, P<0.05]. Conclusion Small intestine double stoma and succus entericus reinfusion are effective in improving the absorption of carbohydrate, fat and nitrogen in the patients with severe intra-abdominal infection.
