Chronic Intestinal Insufficiency as an Independent Risk Factor in Surgical Treatment of Degenerative Diseases of the Spine and Large Joints
Objective. To study the chronic intestinal insufficiency in patients with degenerative spine and large joint diseases as a possible independent risk factor in a perioperative period. Material and Methods. The study included 200 case histories selected by double-blind sampling out of 823 histories of patients with degenerative diseases of the spine and hip who received non-steroid anti-inflammatory drugs. All patients underwent highly traumatic surgical procedures, and clinical analysis of gastrointestinal tract, fiberoptic gastroduodenoscopy, fibercolonoscopy, phonoenterography, chronography, and dysbiosis test were performed to all of them. Results. The developed scale of chronic intestinal insufficiency signs represents a significant prognostic criterion for treatment selection in patients with degenerative spine and large joint diseases. It suggests that 74 % of patients have chronic intestinal insufficiency as a baseline clinically significant pathological condition. Conclusion. Chronic intestinal insufficiency is an essential risk factor in patients with degenerative diseases of the spine and large joints in perioperative period.