nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-213-5-81-91nogr-2491Research ArticleСтатьиАктуальная проблема - послеоперационный илеусCurrent problem - postoperative ileushttps://orcid.org/0000-0002-1597-1876ТруханД. И.TrukhanD. I.dmitry_trukhan@mail.ruhttps://orcid.org/0000-0003-0385-8232ДеговцовЕ. Н.DegovtsovE. N.noemail@neicon.ruКарасевВ. Е.KarasevV. E.noemail@neicon.ruФГБОУ ВО «Омский государственный медицинский университет» Министерства здравоохранения РоссииРоссияOmsk state medical universityRussian FederationФГБОУ ВО «Омский государственный медицинский университет» Министерства здравоохранения России; БУЗ Омской области «Клинический онкологический диспансер»РоссияOmsk state medical university; Clinical Oncological DispensaryRussian Federation202325052023058191Copyright © Трухан Д.И., Деговцов Е.Н., Карасев В.Е., 20232023Трухан Д.И., Деговцов Е.Н., Карасев В.Е.Trukhan D.I., Degovtsov E.N., Karasev V.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nogr.org/jour/article/view/2491

В абдоминальной хирургии после операций на брюшной полости возможно развитие нарушений нормальной согласованной пропульсивной моторики желудочно-кишечного тракта (ЖКТ). Этот эпизод желудочно-кишечной гипомоторики или состояние динамической кишечной непроходимости обозначается как послеоперационный илеус (ПОИ) или послеоперационный парез ЖКТ. Частота развития ПОИ в клинике абдоминальной хирургии составляет от 10 до 30%. Жевательная резинка используется в хирургии для уменьшения послеоперационной кишечной непроходимости с начала XXI века. В рамках представленного обзора рассмотрены основные рандомизированные клинические исследования, обзоры и мета-анализы, посвященные изучению эффекта жевательной резинки в абдоминальной хирургии для профилактики послеоперационного илеуса. Приведенные в обзоре данные свидетельствуют об эффективности и безопасности применения жевательной резинки в послеоперационном периоде для профилактики ПОИ в абдоминальной хирургии и оперативных вмешательствах в смежных областях.

In abdominal surgery, after operations on the abdominal cavity, it is possible to develop disturbances in the normal coordinated propulsive motility of the gastrointestinal tract. This episode of gastrointestinal hypomotility or the state of dynamic ileus is referred to as postoperative ileus (POI) or postoperative gastrointestinal tract paresis. The incidence of POI in the clinic of abdominal surgery ranges from 10 to 30%. Chewing gum has been used in surgery to relieve postoperative intestinal obstruction since the early 21st century. The present review considers the main randomized clinical trials, reviews and meta-analyses on the study of the effect of chewing gum in abdominal surgery for the prevention of postoperative ileus. The data presented in the review indicate the effectiveness and safety of the use of chewing gum in the postoperative period for the prevention of POI in abdominal surgery and surgical interventions in related areas.

абдоминальная хирургияколоректальная хирургияпослеоперационный парез ЖКТпослеоперационный илеуспрофилактикажевательная резинкафлатусдефекацияabdominal surgerycolorectal surgerypostoperative gastrointestinal paresispostoperative ileuspreventionchewing gumflatusdefecationReferencesvan den Heijkant T. C., Costes L. M., van der Lee D. G., et al. Randomized clinical trial of the effect of gum chewing on postoperative ileus and inflammation in colorectal surgery. Br J Surg. 2015 Feb;102(3):202-211. doi: 10.1002/bjs.9691.van den Heijkant T. C., Costes L. M., van der Lee D. G., et al. Randomized clinical trial of the effect of gum chewing on postoperative ileus and inflammation in colorectal surgery. Br J Surg. 2015 Feb;102(3):202-211. doi: 10.1002/bjs.9691.Khomyakov E. A., Rybakov E. G. Postoperative paresis of the gastrointestinal tract. Pirogov Russian Journal of Surgery. 2017;3:76-85. (in Russ.) doi: 10.17116/hirurgia2017376-85.@@ Хомяков Е. А., Рыбаков Е. Г. 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The authors declare that there are no conflicts of interest present.