nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”nmp-146Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПЕРВЫЙ ОПЫТ УСПЕШНОЙ ТРАНСПЛАНТАЦИИ ТОНКОЙ КИШКИ В ИНСТИТУТЕ СКОРОЙ ПОМОЩИ ИМ. Н.В. СКЛИФОСОВСКОГОTHE FIRST EXPERIENCE OF SUCCESSFUL SMALL BOWEL TRANSPLANTATION IN THE SKLIFOSOVSKY RESEARCH INSTITUTE FOR EMERGENCY MEDICINEХубутияМ. Ш.KhubutiaM. Sh.ЯрцевП. А.YartsevP. A.ГуляевВ. А.GulyaevV. A.ГришинА. В.GrishinA. V.ТарасовС. А.TarasovS. A.

научный сотрудник

отделение неотложной хирургической гастроэнтерологии 

tarassov-s@mail.ruШептакН. Н.SheptakN. N.ДрайерМ. Н.DrayerM. N.АлександроваИ. В.AleksandrovaI. V.КиселевВ. В.KiselevV. V.РыкА. А.RykA. A.ВодясовА. В.VodiasovA. V.РжевскаяО. Н.RzhevskayaO. N.КоротковаЕ. А.KorotkovaE. A.ШавринаН. В.ShavrinaN. V.СелинаИ. Е.SelinaI. E.ГодковМ. А.GodkovA. M.БулаваГ. В.BulavaG. V.ЛазареваЕ. Б.LazarevaE. B.ГаланкинаИ. Е.GalankinaI. E.ТитоваГ. П.TitovaG. P.НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы, МоскваРоссияSklifosovsky Research Institute for Emergency Medicine Health Department of Moscow, MoscowRussian Federation201328032016031222Copyright © Хубутия М.Ш., Ярцев П.А., Гуляев В.А., Гришин А.В., Тарасов С.А., Шептак Н.Н., Драйер М.Н., Александрова И.В., Киселев В.В., Рык А.А., Водясов А.В., Ржевская О.Н., Короткова Е.А., Шаврина Н.В., Селина И.Е., Годков М.А., Булава Г.В., Лазарева Е.Б., Галанкина И.Е., Титова Г.П., 20162016Хубутия М.Ш., Ярцев П.А., Гуляев В.А., Гришин А.В., Тарасов С.А., Шептак Н.Н., Драйер М.Н., Александрова И.В., Киселев В.В., Рык А.А., Водясов А.В., Ржевская О.Н., Короткова Е.А., Шаврина Н.В., Селина И.Е., Годков М.А., Булава Г.В., Лазарева Е.Б., Галанкина И.Е., Титова Г.П.Khubutia M.S., Yartsev P.A., Gulyaev V.A., Grishin A.V., Tarasov S.A., Sheptak N.N., Drayer M.N., Aleksandrova I.V., Kiselev V.V., Ryk A.A., Vodiasov A.V., Rzhevskaya O.N., Korotkova E.A., Shavrina N.V., Selina I.E., Godkov A.M., Bulava G.V., Lazareva E.B., Galankina I.E., Titova G.P.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/146

РЕЗЮМЕ. Статья посвящена описанию первого опыта успешной трансплантации тонкой кишки (ТТК) в Институте скорой помощи им. Н.В. Склифосовского. Содержит краткий обзор литературы по основным проблемам ТТК, описание истории болезни донора, особенностей проведения наркоза, операции и течения послеоперационного периода, включая тактику иммуносупрессии, диагностики и лечения развившихся осложнений. Подробно описаны результаты морфологического контроля за развитием реакции отторжения, приведены данные УЗ-наблюдения за изменениями трансплантированной кишки по ходу ее адаптации к новым условиям, тактика парентерального и энтерального питания. 

ABSTRACT. The paper describes the first experience of successful small bowel transplantation in the Sklifosovsky Research Institute for Emergency Medicine. It contains a brief review of literature on essential aspects of small bowel transplantation, presents the donor’s case history, specific features of anesthesia, surgical procedure, and postoperative course, including the immunosuppression scheme, diagnosis and treatment of evolved complications. The paper provides in-detail results of morphological control over rejection development, presents the data of ultrasonographic observation of the changes in the transplanted intestine in the course of its adaptation to new requirements, covers the tactics of parenteral and enteral nutrition.

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