Determination of intestinal viability in acute intestinal obstruction

In determining the intestinal viability, errors leading to fatal outcomes range from 16.4 to 22.1% [1, 4, 8]. Therefore, the search for ways to objectively assess the state of the ischemic area of ​​the intestine is relevant.
Morphological changes in the intestine in this pathology have been studied in sufficient detail. It was found that the basis for the violation of intestinal viability is hemocirculatory disorders, which cause necrosis of the intestinal wall. The latter, as a rule, begins with the mucous membrane and gradually spreads to all layers. Severe dystrophic changes in nerve cells develop, leading to a persistent disorder of the intestinal motor function. Already after 6-9 hours, deep changes in the choroid and nerve plexuses appear in the restrained loop of the intestine.