Incidence and the risk factors of the postoperative stress ulcers in children

Keywords: the stress ulcers; immediate infrared spectrometry; рН-metry; coefficient of the operation traumaticity degree

Abstract

Objective. Аnalysis of correlational link between incidence of postoperative stress-induced changes (SIC), іntraoperative dynamics of peripheral blood flow, called NIRS, degree of the gastric content acidity and the operative intervention traumaticity.

Маterials and methods. There were conducted fibroesophagogastroduodenoscopy with pH-metry preoperatively and in early postoperative period, іntraoperative monitoring of gastric content acidity and registration of dynamics of the peripheral blood flow, as well as calculation of coefficient of the operation traumaticity degree (CTD) in accordance to method of V. P. Polyovyi.

Results. SIC were revealed in 25 (33.3%) of 75 patients observed. The index of the gastric content pН in patients with the SIC signs in postoperative period have constituted 2.05 ± 0.23 at average, while in patients without postoperative complications in the gut mucosa – 3.42 ± 0.97; the NIRS index – accordingly, 63.13 ± 1.39 and 67.80 ± 1.97; CTD – accordingly, 19.4 ± 3.58 and 4.45 ± 2.0.

Conclusion. The SIC incidence in postoperative period in children constitutes 33.3%, what explains actuality of the investigation trend selected. The acidity state of gastric content, as well as combination of significant degree of the operation trauma severity with massive blood loss, characterizing certain indices of CIS and NIRS, constitute important etiological factors for the stress ulcers and erosions incidence.

Author Biographies

I. A. Iskra, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Iskra Iuliia Antonivna – MD; post-graduate student
department of pediatric anesthesiology and intensive care
Shupyk National medical academy of postgraduate education;
Kyiv, st. Chornovola 28/1;
tel. (044) 236-22-61;
e-mail: j.iskra@i.ua;
tel. 0970162949;
https://orchid.org/0000-0001-8266-4000

A. V. Belyaev, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Belyaev Andrey V. - MD, DSci(Med), Professor;
head of the department of pediatric anesthesiology and intensive care
Shupyk National medical academy of postgraduate education,
Kyiv, st. Bogatyrska 30.
tel. (044) 201-32-24;
e-mail: anesth_child_nmapo@ukr.net;
https://orcid.org/0000-0003-3913-2900

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Published
2019-02-27
How to Cite
Iskra, I. A., & Belyaev, A. V. (2019). Incidence and the risk factors of the postoperative stress ulcers in children. Klinicheskaia Khirurgiia, 86(2), 25-27. https://doi.org/10.26779/2522-1396.2019.02.25
Section
General Problems of Surgery