Abstracts Poster Abstracts - Dr Falk

On admission to the hospital in 11 patients (64.7%) of the main group and 13 patients(61.9%) of the control group decompensated hepatic insufficiency was revealed.Development of destructive forms of cholecystitis and pancreatitis in combination withsurgical intrusion aggravated the hepatic insufficiency. During the first two daysencephalopathy on the background of decompensated hepatic insufficiency wasrevealed in 13 patients (76.5%) of the main group and 16 patients (76.2%) of the controlgroup. At the same time on the 7th day it was proved clinically that the condition of 13patients of the main group was better as compared with the patients of the controlgroup. Encephalopathy was revealed in 6 (35.3%) patients of the main group and in 9(42.9%) patients of the control group. Lethality was in 41.2% and 52.4% correspondingly.Concentration of IL-6, 5-NT may serve the diagnostic criterion of prophylaxis ofdecompensated hepatic insufficiency with development of encephalopathy in patientswith alcoholic disease of the liver in case of surgical treatment of destructive forms ofcholecystitis and pancreatitis.Conclusion: In patients with fat liver on the background of alcoholism in case ofdevelopment of destructive forms of cholecystitis and pancreatitis in 76.5% of caseshepatic encephalopathy develops. Using nasal intestinal intubation with enterosorptionand programmed video-laparoscopic abdominal cleansing in dynamics allows todecrease the development of encephalopathy up to 35.3%. IL-6 and CPB and 5-NT arethe criteria of development of encephalopathy in this case in 84.6% patients.Address for correspondence:V. UkrainskyMedical UniversityBoqatirskay Str. 3883018 DonetskUkraine