uzspbgmuУчёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. ПавловаThe Scientific Notes of the Pavlov University1607-41812541-8807Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1607-4181-2019-26-3-25-30uzspbgmu-654Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESОбщие принципы профилактики и лечения осложнений чрескожной эндоскопической гастростомы (обзор литературы)General principles for the prevention and treatment of complications of percutaneous endoscopic gastrostomy (review of literature)ГолубевК. В.GolubevK. V.

Голубев Кирилл Владимирович, прикреплен для выполнения диссертации на соискание ученой степени кандидата наук без освоения программ подготовки научно-педагогических кадров (аспирантура) кафедры госпитальной хирургии им. В. А. Оппеля лечебного факультета ФГБОУ ВО СЗГМУ им. И.И. Мечникова Минздрава России. 

194354, Санкт-Петербург, пер. Учебный, д. 5.

Golubev Kirill Vladimirovich, Duty surgeon, department of general surgery.

Attaching to the department for writing a thesis for the degree of сandidate of Medical Sciences.

5, Uchebnii per., Saint Petersburg, 194354.

kirill_golubev@inbox.ruТопузовЭ. Э.TopuzovE. E.

Топузов Эльдар Эскендерович, доктор медицинских наук, профессор, заведующий кафедрой госпитальной хирургии им. В. А. Оппеля

Санкт-Петербург

Topuzov Eldar Eskenderovich, Doctor of Medicine, Professor, Head of the Department of Hospital Surgery. V.A. Oppelya

Saint Petersburg

eltop@inbox.ruОлейникВ. В.OleynikV. V.

Олейник Василий Васильевич, доктор медицинских наук, профессор, заведующий отделением общей хирургии

Санкт-Петербург

Oleynik Vasiliy Vasilyevich, Doctor of Medicine, Professor, Head of the Department of General Surgery

Saint Petersburg

oleiniki@inbox.ruСтучевскаяТ. Р.StuchevskayaT. R.

Стучевская Тима Романовна, кандидат медицинских наук, доцент, заведующая неврологическим отделением № 3

Санкт-Петербург

Stuchevskaya Tima Romanovna, Candidate of Medicine, Associate Professor, Head of the Neurological Department No. 3

Saint Petersburg

timamd@gmail.comГорчаковС. В. GorchakovS. V.

Горчаков Сергей Васильевич, кандидат медицинских наук, хирург, заместитель заведующего отделения общей хирургии

Санкт-Петербург

Gorchakov Sergey Vasilyevich, Candidate of Medicine, surgeon, department of general surgery

Saint Petersburg

ncage@mail.ruСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияSt. Petersburg State Budgetary Institution of Healthcare "City Multi-Profile Hospital № 2"Russian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияNorth-Western State Medical University named after I. I. MechnikovRussian FederationСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Городская многопрофильная больница № 2»РоссияSt. Petersburg State Budgetary Healthcare Institution "City Multi-Profile Hospital No. 2"Russian Federation2019021020192632530Copyright © Голубев К.В., Топузов Э.Э., Олейник В.В., Стучевская Т.Р., Горчаков С.В., 20202020Голубев К.В., Топузов Э.Э., Олейник В.В., Стучевская Т.Р., Горчаков С.В.Golubev K.V., Topuzov E.E., Oleynik V.V., Stuchevskaya T.R., Gorchakov S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sci-notes.ru/jour/article/view/654

Приведен обзор современных методов профилактики и лечения осложнений, возникающих после формирования чрескожной эндоскопической гастростомы. Рассмотрены представленные в современной литературе взгляды исследователей как на проблему в целом, так и на дискуссионные вопросы, касающиеся причин развития, мер профилактики и способов лечения осложнений чрескожной эндоскопической гастростомы, таких как засорение гастростомической трубки, нагноение послеоперационной раны, некротический фасциит, пневмоперитонеум, бампер-синдром, рост грануляций в зоне гастростомы, послеоперационное кровотечение и внутристеночная гематома стенки желудка, травматическая дислокация гастростомической трубки, перитонит после чрескожной эндоскопической гастростомы, перистомальная несостоятельность, толстокишечный свищ, ранение печени и имплантационный метастаз в канале чрескожной эндоскопической гастростомы. Необходимо дальнейшее изучение данной проблемы с проведением рандомизированных контролируемых клинических исследований.

We considered the views of researchers presented in the modern literature on both the problem as a whole and discussion questions regarding the causes of development, preventive measures, and methods of treating percutaneous endoscopic gastrostomy complications, such as clogging of the gastrostomy tube, peristomal wound infections, necrotic fasciitis, pneumoperitoneum, buried bumper syndrome, growth of granulations in the gastrostomy zone, postoperative bleeding and intraparietal hematoma of the gastric wall, traumatic dislocation of the gastrostomy tube, peritonitis after percutaneous endoscopic gastrostomy, peristomal leakage, сolonic fistula, liver injury and abdominal wall metastasis at the percutaneous endoscopic gastrostomy site.

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The authors declare that there are no conflicts of interest present.