Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment
RATIONALE Hollow organ perforation is an urgent problem in abdominal surgery. According to the literature, the incidence of perforation is from 0.37% to 2.3% of cases among various acute surgical pathologies of the abdominal organs. The greatest attention in the literature is paid to the problem of...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2022-04-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/1346 |
| _version_ | 1797758089576841216 |
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| author | D. A. Blagovestnov D. M. Kopaliani P. A. Yartsev V. T. Samsonov V. G. Arutyunova D. S. Skukin |
| author_facet | D. A. Blagovestnov D. M. Kopaliani P. A. Yartsev V. T. Samsonov V. G. Arutyunova D. S. Skukin |
| author_sort | D. A. Blagovestnov |
| collection | DOAJ |
| description | RATIONALE Hollow organ perforation is an urgent problem in abdominal surgery. According to the literature, the incidence of perforation is from 0.37% to 2.3% of cases among various acute surgical pathologies of the abdominal organs. The greatest attention in the literature is paid to the problem of perforated gastroduodenal ulcers. At the same time, a much smaller number of publications, both Russia and foreign, are devoted to other, more rare types of perforations. This situation is most likely explained by the low prevalence of other types of perforations, which, in turn, does not make them a less urgent problem in emergency surgery, which requires a modern approach to the treatment of this group of patients.PURPOSE OF THE STUDY Analysis of domestic and foreign literature on the diagnosis and treatment of rare types of benign intestinal perforations.MATERIAL AND METHODS A literature review was performed for the period from 1994 to 2020 in Russian and in English, available on Pubmed, Medline, Springer, Scopus, E-library, on topics such as perforated diverticula of the small intestine, perforation of Meckel’s diverticulum, perforated ulcers of the small intestine, perforation of the intestine by a foreign body. RESUltS With all the variety of surgical techniques for various types of perforation of the gastrointestinal tract, currently in the literature there are no specific criteria for choosing a particular method of intervention with regard to the cause, level, and duration of perforation.CONCLUSION The lack of unified approaches in the diagnosis and treatment of patients with rare GIT perforations dictates the need for a more in-depth study of this issue in order to apply and optimize the technique of videolaparoscopic approach, develop a treatment and diagnostic algorithm for patients with suspected perforations of the gastrointestinal tract using the video laparoscopic method. |
| first_indexed | 2024-03-12T18:24:58Z |
| format | Article |
| id | doaj.art-45f291a59c244ef1b0e83b1911949d98 |
| institution | Directory Open Access Journal |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| last_indexed | 2024-03-12T18:24:58Z |
| publishDate | 2022-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj.art-45f291a59c244ef1b0e83b1911949d982023-08-02T08:34:43ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172022-04-0111111912810.23934/2223-9022-2022-11-1-119-128758Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, TreatmentD. A. Blagovestnov0D. M. Kopaliani1P. A. Yartsev2V. T. Samsonov3V. G. Arutyunova4D. S. Skukin5Russian Medical Academy of Continuous Professional EducationRussian Medical Academy of Continuous Professional Education; N.V. Sklifosovsky Research Institute for Emergency MedicineRussian Medical Academy of Continuous Professional Education; N.V. Sklifosovsky Research Institute for 3 B. Sukharevskaya Sq., Moscow, 107045N.V. Sklifosovsky Research Institute for Emergency MedicinePeoples’ Friendship University of RussiaN.V. Sklifosovsky Research Institute for Emergency MedicineRATIONALE Hollow organ perforation is an urgent problem in abdominal surgery. According to the literature, the incidence of perforation is from 0.37% to 2.3% of cases among various acute surgical pathologies of the abdominal organs. The greatest attention in the literature is paid to the problem of perforated gastroduodenal ulcers. At the same time, a much smaller number of publications, both Russia and foreign, are devoted to other, more rare types of perforations. This situation is most likely explained by the low prevalence of other types of perforations, which, in turn, does not make them a less urgent problem in emergency surgery, which requires a modern approach to the treatment of this group of patients.PURPOSE OF THE STUDY Analysis of domestic and foreign literature on the diagnosis and treatment of rare types of benign intestinal perforations.MATERIAL AND METHODS A literature review was performed for the period from 1994 to 2020 in Russian and in English, available on Pubmed, Medline, Springer, Scopus, E-library, on topics such as perforated diverticula of the small intestine, perforation of Meckel’s diverticulum, perforated ulcers of the small intestine, perforation of the intestine by a foreign body. RESUltS With all the variety of surgical techniques for various types of perforation of the gastrointestinal tract, currently in the literature there are no specific criteria for choosing a particular method of intervention with regard to the cause, level, and duration of perforation.CONCLUSION The lack of unified approaches in the diagnosis and treatment of patients with rare GIT perforations dictates the need for a more in-depth study of this issue in order to apply and optimize the technique of videolaparoscopic approach, develop a treatment and diagnostic algorithm for patients with suspected perforations of the gastrointestinal tract using the video laparoscopic method.https://www.jnmp.ru/jour/article/view/1346hollow organ perforationbowel perforationforeign bodydiverticulasmall bowel ulcerscrohn’s disease |
| spellingShingle | D. A. Blagovestnov D. M. Kopaliani P. A. Yartsev V. T. Samsonov V. G. Arutyunova D. S. Skukin Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment Неотложная медицинская помощь hollow organ perforation bowel perforation foreign body diverticula small bowel ulcers crohn’s disease |
| title | Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment |
| title_full | Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment |
| title_fullStr | Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment |
| title_full_unstemmed | Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment |
| title_short | Rare Types of Perforation of the Gastrointestinal Tract — Diagnosis, Tactics, Treatment |
| title_sort | rare types of perforation of the gastrointestinal tract diagnosis tactics treatment |
| topic | hollow organ perforation bowel perforation foreign body diverticula small bowel ulcers crohn’s disease |
| url | https://www.jnmp.ru/jour/article/view/1346 |
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