Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas
Intestinal fistulas remain a multidisciplinary, often life-threatening problem of clinical medicine. Such patients in the process of their conservative and surgical stages of treatment remain in a state of systemic metabolic dysfunction for a long time, which is usually accompanied by phenomena of t...
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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
2025-04-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/2074 |
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| author | V. M. Luft A. E. Demko B. R. Kelbetova I. M. Batyrshin D. V. Fomin A. V. Lapitskiy G. A. Pichugina A. M. Sergeeva K. K. Usenov |
| author_facet | V. M. Luft A. E. Demko B. R. Kelbetova I. M. Batyrshin D. V. Fomin A. V. Lapitskiy G. A. Pichugina A. M. Sergeeva K. K. Usenov |
| author_sort | V. M. Luft |
| collection | DOAJ |
| description | Intestinal fistulas remain a multidisciplinary, often life-threatening problem of clinical medicine. Such patients in the process of their conservative and surgical stages of treatment remain in a state of systemic metabolic dysfunction for a long time, which is usually accompanied by phenomena of trophological insufficiency of varying severity. In this regard, one of the most important areas of treatment for this category of patients is nutritional-metabolic therapy (NMT), aimed at minimizing the consequences, and, if possible, stopping the catabolic orientation of metabolism, which will help stabilize the trophological status of patients and improve the results of their treatment. NMT of patients with intestinal fistulas still remains a very complex and insufficiently resolved problem that requires further study. This article discusses the features and controversial issues of NMT for this category of patients, as well as a rational choice of nutritional accesses and optimal energy and protein supply when implementing clinical nutrition depending on the anatomical affiliation of the fistula and the degree of its production. |
| format | Article |
| id | doaj-art-d4b3b00a07224a9ca9475c8f5778a9a1 |
| institution | DOAJ |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2025-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-d4b3b00a07224a9ca9475c8f5778a9a12025-08-20T02:59:28ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172025-04-0114115516510.23934/2223-9022-2025-14-1-155-1651007Problems of Nutritional and Metabolic Therapy of Patients with Intestinal FistulasV. M. Luft0A. E. Demko1B. R. Kelbetova2I. M. Batyrshin3D. V. Fomin4A. V. Lapitskiy5G. A. Pichugina6A. M. Sergeeva7K. K. Usenov8Saint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; S.M. Kirov Military Medical AcademySaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; S.M. Kirov Military Medical AcademySaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineSaint Petersburg I.I. Dzhanelidze Research Institute of Emergency MedicineS.M. Kirov Military Medical AcademyIntestinal fistulas remain a multidisciplinary, often life-threatening problem of clinical medicine. Such patients in the process of their conservative and surgical stages of treatment remain in a state of systemic metabolic dysfunction for a long time, which is usually accompanied by phenomena of trophological insufficiency of varying severity. In this regard, one of the most important areas of treatment for this category of patients is nutritional-metabolic therapy (NMT), aimed at minimizing the consequences, and, if possible, stopping the catabolic orientation of metabolism, which will help stabilize the trophological status of patients and improve the results of their treatment. NMT of patients with intestinal fistulas still remains a very complex and insufficiently resolved problem that requires further study. This article discusses the features and controversial issues of NMT for this category of patients, as well as a rational choice of nutritional accesses and optimal energy and protein supply when implementing clinical nutrition depending on the anatomical affiliation of the fistula and the degree of its production.https://www.jnmp.ru/jour/article/view/2074intestinal fistulaintestinal failurenutritional support |
| spellingShingle | V. M. Luft A. E. Demko B. R. Kelbetova I. M. Batyrshin D. V. Fomin A. V. Lapitskiy G. A. Pichugina A. M. Sergeeva K. K. Usenov Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas Неотложная медицинская помощь intestinal fistula intestinal failure nutritional support |
| title | Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas |
| title_full | Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas |
| title_fullStr | Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas |
| title_full_unstemmed | Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas |
| title_short | Problems of Nutritional and Metabolic Therapy of Patients with Intestinal Fistulas |
| title_sort | problems of nutritional and metabolic therapy of patients with intestinal fistulas |
| topic | intestinal fistula intestinal failure nutritional support |
| url | https://www.jnmp.ru/jour/article/view/2074 |
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