transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologiststransplantologiya-20Research ArticleПРОБЛЕМНЫЕ АСПЕКТЫPROBLEMATIC ASPECTSПервая успешная трансплантация тонкой кишки в Институте скорой помощи им. Н.В. СклифосовскогоThe fi rst successful small bowel transplantation in the Sklifosovsky Institute for Emergency MedicineХубутияМ. Ш.KhubutiaM. Sh.ЯрцевП. А.YartsevP. A.ГуляевВ. А.GulyaevV. A.ГришинА. В.GrishinA. V.grishin.alexandrvla@yandex.ruТарасовС. А.TarasovS. A.ШептакН. Н.SheptakN. N.ДрайерМ. Н.DrayerM. N.ЛевитскийВ. Д.LevitskyV. D.АлександроваИ. В.AleksandrovaI. A.КиселевВ. В.KiselevV. V.ЛелюкВ. А.LeliukV. A.РябовЕ. Б.RiabovE. B.БердниковГ. А.BerdnikovG. A.РыкА. А.RykA. A.ВодясовА. В.VodiasovA. V.РжевскаяО. Н.RzhevskayaO. N.БоровковаН. В.BorovkovaN. V.ТимербаевВ. Х.TimerbaevV. Kh.КоротковаЕ. А.KorotkovaE. A.ТрофимоваЕ. Ю.TrofimovaE. YuШавринаН. В.Shavrina,N. V.СелинаИ. Е.SelinaI. E.КалоеваО. Х.KaloyevaO. Kh.ГодковА. М.GodkovA. M.БулаваГ. В.BulavaG. V.КлычниковаЕ. В.KlychnikovaE. V.Евдокимова,Н. В.EvdokimovaN. V.ЛазареваЕ. Б.LazarevaE. B.ГаланкинаИ. Е.GalankinaI. E.ТитоваГ. П.TitovaG. P.ГБУЗ «НИИ скорой помощи им. Н.В. Склифосовского ДЗ г. Москвы»РоссияSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentRussian Federation20132601201603Трансплантология1627Copyright © Хубутия М.Ш., Ярцев П.А., Гуляев В.А., Гришин А.В., Тарасов С.А., Шептак Н.Н., Драйер М.Н., Левитский В.Д., Александрова И.В., Киселев В.В., Лелюк В.А., Рябов Е.Б., Бердников Г.А., Рык А.А., Водясов А.В., Ржевская О.Н., Боровкова Н.В., Тимербаев В.Х., Короткова Е.А., Трофимова Е.Ю., Шаврина Н.В., Селина И.Е., Калоева О.Х., Годков А.М., Булава Г.В., Клычникова Е.В., Евдокимова, Н.В., Лазарева Е.Б., Галанкина И.Е., Титова Г.П., 20162016Хубутия М.Ш., Ярцев П.А., Гуляев В.А., Гришин А.В., Тарасов С.А., Шептак Н.Н., Драйер М.Н., Левитский В.Д., Александрова И.В., Киселев В.В., Лелюк В.А., Рябов Е.Б., Бердников Г.А., Рык А.А., Водясов А.В., Ржевская О.Н., Боровкова Н.В., Тимербаев В.Х., Короткова Е.А., Трофимова Е.Ю., Шаврина Н.В., Селина И.Е., Калоева О.Х., Годков А.М., Булава Г.В., Клычникова Е.В., Евдокимова, Н.В., Лазарева Е.Б., Галанкина И.Е., Титова Г.П.Khubutia M.S., Yartsev P.A., Gulyaev V.A., Grishin A.V., Tarasov S.A., Sheptak N.N., Drayer M.N., Levitsky V.D., Aleksandrova I.A., Kiselev V.V., Leliuk V.A., Riabov E.B., Berdnikov G.A., Ryk A.A., Vodiasov A.V., Rzhevskaya O.N., Borovkova N.V., Timerbaev V.K., Korotkova E.A., Trofimova E.Y., Shavrina, N.V., Selina I.E., Kaloyeva O.K., Godkov A.M., Bulava G.V., Klychnikova E.V., Evdokimova N.V., Lazareva E.B., Galankina I.E., Titova G.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/20

Статья посвящена описанию первого наблюдения успешной трансплантации тонкой кишки (ТТК) в Институте скорой помощи им. Н.В. Склифосовского. Содержит краткий обзор литературы по основным проблемам ТТК, описание истории болезни донора, особенностей проведения наркоза, операции и течения послеоперационного периода, включая тактику иммуносупрессии, диагностики и лечения развившихся осложнений. Подробно описаны результаты морфологического контроля за развитием реакции отторжения, приведены данные УЗ-наблюдения за изменениями трансплантированной кишки по ходу ее адаптации к новым условиям, тактика парентерального и энтерального питания.

 

The paper describes the first case of successful small bowel transplantation in the Sklifosovsky Research Institute for Emergency Medicine. It contains a brief review of literature on essential aspects of small bowel transplantation, presents the donor’s case history, specific features of anesthesia, surgical procedure, and postoperative course, including the immunosuppression scheme, diagnosis and treatment of evolved complications. The paper provides in-detail results of morphological control over rejection development, presents the data of ultrasonographic observation of the changes in the transplanted intestine in the course of its adaptation to new requirements, covers the tactics of parenteral and enteral nutrition.

 

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The authors declare that there are no conflicts of interest present.