Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko186510.18499/2070-478X-2025-18-2-116-130Review of literatureОбзор литературыReview ArticleAutologous Intestinal Reconstruction: What, When, and Why?Аутологическая реконструкция кишки: что, когда и зачем?DemidovSergey K.ДемидовСергей Константинович
Russian Federation

Senior Lieutenant at the Medical Service, Senior Resident at the Surgical Department

старший лейтенант медицинской службы, старший ординатор хирургического отделения

Demidov9696@mail.ruBatyrshinIldar M.БатыршинИльдар Муллаянович
Russian Federation

M.D., Head of the 11th Surgical Department

д.м.н., заведующий 11-м хирургическим отделением

onrush@mail.ruDemkoAndrey E.ДемкоАндрей Евгеньевич
Russian Federation

M.D., Professor, Honored Doctor of the Russian Federation, Deputy Director for Scientific Work

д.м.н., профессор, заслуженный врач РФ, заместитель директора по научной работе

demkoandrey@gmail.comLuftValery M.ЛуфтВалерий Матвеевич
Russian Federation

M.D., Professor, Honored Physician of the Russian Federation, Head of the Clinical Nutrition Department

д.м.н., профессор, заслуженный врач РФ, руководитель отдела клинического питания

lvm_aspep@mail.ruAvetyanNorik A.АветянНорик Арсенович
Russian Federation

Surgeon at the 11th Surgical Department

врач-хирург 11-го хирургического отделения

norikavetyan@mail.ruFominDmitry V.ФоминДмитрий Валерьевич
Russian Federation

Ph.D., Surgeon at the 11th Surgical Department

к.м.н., врач-хирург 11-го хирургического отделения

doctordmitryfomin@yandex.ruOstroumovaYulia S.ОстроумоваЮлия Сергеевна
Russian Federation

Ph.D., Surgeon at the 11th Surgical Department, Researcher at the Department of Surgical Infections

к.м.н., врач-хирург 11-го хирургического отделения, научный сотрудник отдела хирургических инфекций

yulia575091@yandex.ruDepartment No. 3 of the 1477th Naval Clinical HospitalФилиал №3 1477-го Военно-морского клинического госпиталяJanelidze Saint Petersburg Research Institute of Emergency MedicineСанкт-Петербургский научно-исследовательский институт скорой помощи имени И.И. ДжанелидзеKirov Military Medical AcademyВоенно-медицинская академия им. С.М. Кирова140720251821161301002202514072025Copyright ©; 2025, Demidov S.K., Batyrshin I.M., Demko A.E., Luft V.M., Avetyan N.A., Fomin D.V., Ostroumova Y.S.Copyright ©; 2025, Демидов С.К., Батыршин И.М., Демко А.Е., Луфт В.М., Аветян Н.А., Фомин Д.В., Остроумова Ю.С.2025Demidov S.K., Batyrshin I.M., Demko A.E., Luft V.M., Avetyan N.A., Fomin D.V., Ostroumova Y.S.Демидов С.К., Батыршин И.М., Демко А.Е., Луфт В.М., Аветян Н.А., Фомин Д.В., Остроумова Ю.С.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/1865

Post-resection short bowel syndrome, which is manifested as a severe intestinal failure, is a pressing medical and social problem due to persistent intestinal dyspepsia and progressive, sometimes life-threatening, malnutrition in these patients, leading to their early disability and long-term dependence on parenteral nutrition and maintenance infusion therapy. The introduction of modern parenteral nutrition technologies into clinical practice, which can be successfully carried out by patients self-dependently at home, has significantly changed the quality of life and ensured relatively long survival of the patients. However, parenteral nutrition can have a number of complications (catheter-associated bloodstream infection, venous thrombosis, hepatopathy, etc.), which requires a complex of therapeutic measures aimed at achieving enteral autonomy in these patients, significantly reducing or eliminating the need for intravenous support. One of the most essential areas that contributes to the achievement of enteral autonomy in this category of patients is autologous intestinal reconstruction surgery (AIRS).

The aim of the review is to summarize and systematize the accumulated current information on various options for surgical treatment of patients with post-resection short bowel syndrome and intestinal failure (SBS-IF) using various surgical techniques.

Пострезекционный синдром короткой кишки, который проявляется тяжёлой кишечной недостаточностью, представляет собой актуальную медико-социальную проблему, что обусловлено наличием у этих пациентов стойкой кишечной диспепсии и прогрессирующей, иногда угрожающей жизни, недостаточности питания, приводящей к их ранней инвалидизации и длительной зависимости от парентерального питания и поддерживающей инфузионной терапии. Внедрение в клиническую практику современных технологий парентерального питания, которое с успехом может осуществляться самими пациентами в домашних условиях, существенно изменило качество жизни и обеспечило относительно длительное их выживание. Тем не менее парентеральное питание может иметь целый ряд осложнений (катетер ассоциированная инфекция кровотока, венозный тромбоз, гепатопатия и др.), что требует проведения комплекса лечебных мероприятий, направленных на достижение у этих больных энтеральной автономии, позволяющей значимо уменьшить или отменить потребность во внутривенной поддержке. Одним из важнейших направлений, способствующих достижению энтеральной автономии у данной категории пациентов, является аутологичная хирургическая реконструкция кишечника (AIRS).

Целью обзора является обобщение и систематизация накопленной и актуальной на сегодняшний день информации о различных вариантах оперативного лечения пациентов с пострезекционным синдромом короткой кишки и кишечной недостаточностью (СКК-КН) с использованием различных методик хирургического вмешательства.

short bowel syndrome (SBS)intestinal failure (IF) autologous intestinal reconstruction surgery (AIRS)longitudinal intestinal lengthening and tailoring (LILT)serial transverse enteroplasty (STEP)spiral intestinal lengthening and tailoring (SILT)antiperistaltic reverse segmentcolonic interpositioncontrolled tissue expansionсиндром короткой кишки (СКК)кишечная недостаточность (КН) аутологичная реконструкция кишечника (AIRS)продольное удлинение и подшивание кишечника (LILT)серийная поперечная энтеропластика (STEP)спиральное удлинение и подшивание кишечника (SILT)антиперистальтический реверсивный сегментинтерпозиция толстой кишкиконтролируемое расширение тканейLauro A, Coletta R, Morabito A. Restoring gut physiology in short bowel patients: from bench to clinical application of autologous intestinal reconstructive procedures. Expert Rev Gastroenterol Hepatol. 2019; 13:785– 96. doi: 10.1080/17474124.2019.1640600Wilmore DW, Dudrick SJ. 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