摘要 |
The method for predicting the protracted postoperative intestinal paresis following reconstructive surgery in colon comprises the scoring of the following signs: surgical and anesthesiologic risk according to ASA scale - ASA III (1 point), ASA IV (2 points); gender – female (1 point), male (2 points); nosology – benign pathology of colon (1 point), colorectal cancer (2 points); functional fistula – colostomy (1 point), ileostomy (2 points); the prognostically significant concomitant somatic pathology – chronic obstructive lung disease (1 point). The sum of scores stratifies preoperatively all patients with diagnostic sensitivity of 95 % and positive prognostic value of 88 % into the following risk groups: 1-3 points – low risk, 4-6 points – medium risk, 7-9 points – high risk. |