Proper Experience of Complex Treatment of a Patient with Complicated Crohn's Disease: Application of Vacuum Duodenal Obturation in Closing High Small Intestinal Fistulas

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The paper highlights a clinical case of a newly diagnosed Crohn's disease with extended involvement of the small intestine in a 63-year-old patient. The course of the disease was complicated by multiple acute ulcers with perforations and peritonitis; due to this the patient was repeatedly exposed to surgical interventions. As a result of a long-term inflammatory process in the abdominal cavity, the patient developed small intestinal fistulas on the remaining short small intestine. Surgical treatment was combined with a comprehensive conservative treatment of Crohn's disease, parenteral nutrition via an intravenous port, antibiotic therapy, infusion therapy, etc. The authors first applied an intraluminal duodenal endosponge with programmable vacuum aspiration. Complete duodenal obturation was successfully achieved. The use of this design has played a crucial part in the complex treatment of small intestinal fistulas in the presented patient.

Sobre autores

Sergey Varzin

St. Petersburg State University; St. Petersburg Medical and Social Institute

Email: drvarzin@mail.ru
ORCID ID: 0000-0003-4437-7603

MD, Associate Professor, Professor, Department of Faculty Surgery; Head of the Department of Surgical Diseases No. 2

Rússia, 7/9 Universitetskaya emb., St. Petersburg, 199034; 72 Kondratyevsky Avenue, letter A, Saint Petersburg, Russia, 195271

Boris Apereche

"Alexander Hospital," St. Petersburg

Email: aparecedoris@mail.ru
ORCID ID: 0009-0001-8411-9425

Нead of Endoscopy Department

Rússia, Saint Petersburg, Russia, 193312, pr. Solidarity, 4

Alexey Avdeev

St. Petersburg Medical and Social Institute; City Hospital No. 33, Kolpino, St. Petersburg.

Email: avdeev_74@mail.ru
ORCID ID: 0009-0004-0768-7260

Candidate of Medical Sciences, Head. Surgical Department; Associate Professor of the Department of Surgical Diseases No. 2 SPbMSI

Rússia, Russian Federation, 195271, St. Petersburg, Kondratyevsky Avenue, 72, lit. A; St. Petersburg, Russia, 196653, Kolpino, Pavlovskaya street, 16, lit. A.

Zarina Tsochvrebova

City Hospital No. 33, Kolpino, St. Petersburg

Email: ms.zarina.84@mail.ru
ORCID ID: 0009-0006-2358-1401

endoscopist

Rússia, St. Petersburg, Russia, 196653, Kolpino, Pavlovskaya street, 16, lit. A.

Vladimir Gribanov

"City Hospital No. 33," Kolpino, St. Petersburg

Email: gribanovvv@rambler.ru
ORCID ID: 0009-0001-9353-8154

Deputy Chief Physician for Medical Affairs

Rússia, Russia, 196653, Kolpino, Pavlovskaya street, 16, lit. A

Marina Krasnopeeva

First St. Petersburg State Medical University named after Academician I.P. Pavlov

Autor responsável pela correspondência
Email: marinakrasnopeeva@gmail.com
ORCID ID: 0000-0003-3259-0896

Student

Rússia, 6-8 Lev-Tolstoy Street, Saint Petersburg, Russia, 197022

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