ANALYSIS OF GASTROINTESTINAL COMPLICATIONS AFTER SPINAL DEFORMITY SURGERY

Sergey Vissarionov, Elena Korsun, Airat Syundyukov, Svetlana Yakovleva, Alyona Orlova, Igor Grigoriev
2015 Hirurgiâ pozvonočnika  
Objective. To assess the rate of gastrointestinal tract disorders in children with spinal deformities in the early postoperative period after surgical intervention, and to compare results of different diagnostics schemes and preventive treatment. Material and Methods. The treatment outcomes in 125 patients aged 13 to 18 years admitted for surgical treatment of scoliosis and Scheuermann's disease were analyzed. In Group I endoscopic examinations were performed in all patients before surgery and
more » ... before surgery and only in those with clinical manifestations in the postoperative period. In Group II examinations were performed in all patients before and after surgery regardless of clinical signs. Prevention of gastrointestinal complications was standard in Group I and extended in Group II. Results. The incidence of gastrointestinal tract pathology was 98 % in Group I and 86 % in Group II. Patients in Group II had no severe (grade 3 and 4) erosive lesions in the postoperative period, the rate of grade 2 lesions decreased to 31 %. Erosive lesions were more frequent in patients with low body mass index (53.8 %). Conclusion. Gastrointestinal tract disorders are a common problem in patients with spinal deformity after corrective interventions. It is advisable to carry out endoscopy and ultrasound examinations in the postoperative period to optimize preventive and curative measures for avoidance of severe lesions of the gastrointestinal tract. Please cite this paper as: Vissarionov SV, Korsun EN, Syundyukov AR, Yakovleva SK, Orlova AV, Grigoriev IV. Analysis of gastrointestinal complications after spinal deformity surgery. Hir. Pozvonoc. 2015; 12(2):25-32. In Russian. DOI: http://dx.doi.org/10.14531/ss2015.2.25-32. Деформации позвоночника Spine deformities Hirurgia Pozvonochnika 2015;12(2):25-32 ХИРУРГИЯ ПОЗВОНОЧНИКА 2015. Т. 12. № 2. С. 25-32 С.В. Виссарионов и др. Осложнения со стороны желудочно-кишечного тракта после операций на позвоночнике Сергей Валентинович Виссарионов, д-р мед. наук, Научно-исследовательский детский ортопедический институт им. Г.И. Турнера, Санкт-Петербург; Елена Николаевна Корсун, врач-эндоскопист; Айрат Рашитович Сюндюков, травматолог-ортопед; Светлана Константиновна Яковлева, педиатрневролог; Алена Владиславовна Орлова, канд. мед. наук; Игорь Владимирович Григорьев, зав. детским травматолого-ортопедическим отделением, Федеральный центр травматологии, ортопедии и эндопротезирования, Чебоксары.
doi:10.14531/ss2015.2.25-32 fatcat:inociek3jzavpokzjrrvrfsqqy