Surgeon

Recently enterosgel are increasingly used in various fields of surgery. This is, above all, with the capacity of local and systemic detoxification, which can be solved only with the use of sorbents. Enterosgel able to tackle a wider range of tasks associated with bacterial infections, disorders of metabolism and digestive function, which often accompany and complicate the disease during surgery. The high sorption activity and specificity enterosgelya, as well as its physical and chemical properties allow it to use in various fields of surgery. An important factor is the simplicity and low cost of the sorption of therapy, which makes it accessible to everyday praktiki.Enterosgel application can be applied to the unaffected skin, as well as directly on the wound surface in cases of traumatic tissue loss (as in private or public harm), with burn trauma, purulent-inflammatory processes. Enterosgel may be imposed and on the surface of mucous membranes: the urogenital system, the various divisions of the gastrointestinal tract. Enterosgel can be used in the composition of solutions used for washing wound tissue injury, lavage. Shown that the therapeutic effect of dialysis pareticheski modified intestine increases significantly if his conduct enterosgel use.

in surgical gastroenterology Enterosgel use:
- During the preparation of patient for operation
- Intraoperative and early postoperative period (Enterosgel included in the package of measures aimed at the treatment of intestinal insufficiency syndrome, while Enterosgel can be used in conjunction with a balanced nutrient mixtures.)
- In the late postoperative period Enterosgel used to prevent complications.

< TD> Enterosgel helps restore enterogematicheskogo barrier (the regeneration of mucosal ZHKT, an increase in sIgA, the reduction of autoantibodies to the small intestine)

	Enterosgel reduces the level of endogenous intoxication.
	Enterosgel reduces bacterial contamination of small bowel
	Enterosgel contributes to the resolution of paresis of the intestines in the early stages of

Enterosgel reduces excessive microbial contamination small bowel in patients with frequent peritonitis, Application of the enterosorbent in patients with peritonitis at 2 days reduces the nearly 2-fold titer bacterial seed separated from nazointestinalnyh probes, and by the 4 th days treatment - in 3,8 times. Significantly reduced the number of microbial associations in 25% of patients on the 3rd day of growth of aerobic microflora in the intestinal detachable no. At the same time, without the use of Enterosgelya within 3 days of treatment the level of microbial seed separated from nazointestinalnyh probes remained consistently high, 2-fold increased percentage of sowing microbial associations. Also, when applying Enterosgelya throughout the 4-day treatment comes clear reduction of VSMM in intestinal contents: 2 nd day the number of decreases in 2.5 times, and to the 4 th days of reaching normal values. In patients not taking Enterosgel for the first 4 days after the operation toxicity intestinal contents remained consistently high.

Dynamics titles bacterial contamination in patients with frequent peritonitis (Chernysh T. I. 1999.)	Dynamics toxicity intestinal contents in patients with < BR> with widespread peritonitis (Chernysh TI 1999.)
Enterosgel used in the treatment of	Enterosgel in treatment is not applied

Indicators Endotoksikoza of patients on the fifth day after the operation (Luzin, VV 1997.)	Duration of paresis of the intestines in patients with frequent peritonitis at a reception Enterosgelya (Chernysh TI 1999.)
Enterosgel used in the treatment of	Enterosgel not used in the treatment of

The positive effect of Enterosgelya to restore enterogematicheskogo barrier is shown in the works of enteral insufficiency syndrome in patients with acute intestinal obstruction spilled peritonitis, acute pancreatitis thrombosis mezenterialnyh vascular injury and abdominal strangulated hernia. The efficiency of intestinal dialysis in patients with enteral insufficiency increases, if the conduct it using enterosgel. In the postoperative period using nazointestinalny probe and to collect intestinal contents, and to determine the level of sIgA. On the fifth day after the level of sIgA increased in 3 times. Parallel titles reduced autoantibodies to small intestine (for five days, the level of autoantibodies is reduced by more than 7 times).

< FONT size=2> secretory immunoglobulin A and the level of antibodies to the small intestine

level of secretory immunoglobulin (sIga)

levels of antibodies to the small intestine

The increase reflects the recovery of sIgA intestinal barrier, as is well known that sIgA as a result of transtsitoza is produced on the surface of mucosa through the epithelial layer. Reduced content of autoantibodies due to reduced levels of LPS stimulation of B-lymphocytes (decrease polyclonal activation). Characteristically, in the absence of enterosorption levels of autoantibodies to small bowel decreased only two times.