Influence of omegaven on structural changes of inner organs at experimental widespread purulent peritonitis


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Abstract

In experiment on 40 rabbits-males of chinchilla breed by means of light microscopy structural changes of small intestine, liver and heart were studied at an experimental widespread purulent peritonitis. It is established that in 6 hours after initiation of peritonitis systemic structural and haemodynamic changes of the specified bodies which were characterized by the expressed dystrophic and necrotic processes, interstitial hypostasis, inflammatory neutrophilic infiltration, vessels’ hyperaemia, stasis in microvasculature and diapedesis hemorrhages were observed. Application in the postoperative period at an experimental widespread purulent peritonitis of the fatty emulsion, containing omega-3-fatty acids, «Omegaven» promotes restoration of structure of small intestine, liver and heart, decrease in expressiveness of an inflammation, interferes with development of dystrophic and necrotic changes. Positive system action of a preparation specifies in expediency of its application in complex treatment of a widespread purulent peritonitis.

About the authors

I.M. Sechenov First Moscow State Medical University

Author for correspondence.
Email: afansurg@rambler.ru
Doctor of Med. Science, Prof., Academician of RAMS, President of the Association of General Surgeons of the Russian Federation, Head of the Department of General Surgery of the First MoscowState Medical University named after I.M. Sechenov, Chairman of the Problem Commission "Infection in Surgery" of the Interdepartmental Scientific Council for Surgery of RAMS and the Ministry of Health and Social Development

I.M. Sechenov First Moscow State Medical University

Email: vkosinets@yandex.by
Candidate of Med. Science, Doctoral Candidate of the Department of General Surgery of the First Moscow State Medical University named after I.M. Sechenov

References

  1. Bakhman A.L. Iskusstvennoe pitanie.[artificial nutrition]. M.: BINOM, SPb.: Nevskii dialekt, 2001; 192.
  2. Volkova O.V. Osnovy gistologii s gistologicheskoi tekhnikoi.[Fundamentals of histology with the histologic equipment]. M.: Nauka, 1982; 304.
  3. Gostishchev V.K., Sazhin V.P., Avdovenko A.L. Peritonit.[Рeritonitis] M.: Geotar-med 2002; 240.
  4. Kol'man Ia., Rem K.G. Nagliadnaia biokhimiia.[Evident biochemistry]. M: Mir, 2000. 469.
  5. Kosinets V.A. Korrektsiia bioenergeticheskikh protsessov v myshechnoi tkani tonkoi kishki pri rasprostranennom gnoinom peritonite: (kliniko-eksperimental'noe issledovanie).[Correction of biopower processes in muscular tissue of a small intestine at widespread purulent peritonitis: (kliniko-pilot study).]. avtoref. dis. … kand. med. nauk: 14.00.27. Minsk, 2009; 20 .
  6. Lenindzher A. Osnovy biokhimii.[Fundamentals of biochemistry]. M: Mir, 1985; 2: 368.
  7. Popova T.S., Shestopalov A.E., Tamazashvili T.Sh., Leiderman I.N. Nutritivnaia podderzhka bol'nykh v kriticheskikh sostoianiiakh.[Nutritive support of patients in critical conditions.]. M. Izdatel'skii dom «M-Vesti» 2002; 319.
  8. Bogach P.G. i dr. Struktura i funktsiia biologicheskikh membran.[Structure and function of biological membranes. ]. Kiev: Vishcha shk., 1981; 336.
  9. Khanevich M.D., Selivanov E.A., Starokon' P.M. Peritonit: Infuzionno-transfuzionnaia i detoksikatsionnaia terapiia.[Peritonitis: Infusion-transfusion and detoksikatsionny therapy.]. M.: MedEkspertPress 2004; 205.
  10. P. Singer et al. Anti-inflammatory properties of omega-3 fatty acids in critical illness: novel mechanisms and an integrative perspective. Intensive Care Med. 2008; 34: 1580-1592.
  11. Eisner F. et al. Immunonutrition with long-chain fatty acids prevents activation of macrophages in the gut wall. Gastrointest. Surg. 2011; 15: 853-859.
  12. Kragballe K., Voorhees J.J., Goetzl E.J. Kragballe K. Inhibition by leukotriene B5 of leukotriene B4-induced activation of human keratinocytes and neutrophils. Invest. Dermatol 1987; 88: 555-558.
  13. Martin J.M., Stapleton R.D. Omega-3 fatty acids in critical illness. Nutr. Rev. 2010; 68: 531-541.
  14. Caughey G.E. et al. The effect on human tumor necrosis factor alpha and interleukin 1 beta production of diets enriched in n-3 fatty acids from vegetable oil or fish oil. Am. J. Clin. Nutr. 1996; 63: 16-122.

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