. . . "8" . "0042-773X" . "56let\u00E1 \u017Eena byla akutn\u011B operov\u00E1na pro z\u00E1n\u011Btlivou perforaci tlust\u00E9ho st\u0159eva. N\u00E1sledovala s\u00E9rie opakovan\u00FDch operac\u00ED pro recidivuj\u00EDc\u00ED iatrogenn\u00ED st\u0159evn\u00ED p\u00ED\u0161t\u011Ble a peritonitidu. Od 70. dne byla nemocn\u00E1 l\u00E9\u010Dena na jednotce intenzivn\u00ED metabolick\u00E9 p\u00E9\u010De KGM FN v Hradci Kr\u00E1lov\u00E9. Po zvl\u00E1dnut\u00ED septick\u00E9ho \u0161oku byla dlouhodob\u011B p\u0159ipravov\u00E1na k rekonstruk\u010Dn\u00ED operaci za\u017E\u00EDvac\u00EDho traktu pod\u00E1v\u00E1n\u00EDm parenter\u00E1ln\u00ED v\u00FD\u017Eivy, o\u0161et\u0159ov\u00E1n\u00EDm r\u00E1ny a pohybovou rehabilitac\u00ED. Od 150. dne byla aplikov\u00E1na mal\u00E1 d\u00E1vka enter\u00E1ln\u00ED v\u00FD\u017Eivy do segmentu st\u0159eva mezi p\u00ED\u0161t\u011Blemi. \u00DAsp\u011B\u0161n\u00E1 rekonstrukce za\u017E\u00EDvac\u00EDho traktu byla provedena 205. den l\u00E9\u010Den\u00ED s odstupem 146 dn\u016F od posledn\u00ED chirurgick\u00E9 intervence. Poopera\u010Dn\u00ED p\u00ED\u0161t\u011Bl byla zhojena p\u0159i pokra\u010Dov\u00E1n\u00ED parenter\u00E1ln\u00ED v\u00FD\u017Eivy konzervativn\u011B, co\u017E bylo ov\u011B\u0159eno 246. den enterol\u00FDzou. Pr\u00E1ce zd\u016Fraz\u0148uje v\u00FDznam konzervativn\u00ED metabolick\u00E9 p\u00E9\u010De v l\u00E9\u010Db\u011B chirurgicky akutn\u011B ne\u0159e\u0161iteln\u00FDch dehiscenc\u00ED st\u0159evn\u00EDch anastom\u00F3z a diskutuje p\u0159\u00EDzniv\u00FD efekt p\u0159\u00EDdavku enter\u00E1ln\u00ED v\u00FD\u017Eivy na p\u0159etrv\u00E1vaj\u00EDc\u00ED cholest\u00E1zu p\u0159i parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B." . "Bedrna, Jan" . . . "Cholestatick\u00FD ikterus na parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B a l\u00E9\u010Debn\u00FD vliv enter\u00E1ln\u00ED aplikace - kazuistika" . . . . "An acute operation was made on a 56-year woman for inflammatory perforation of colon. A series of repeated operations followed due to relapsing iatrogenic intestinal fistula and peritonitis. From the day 70 the patient was treated at the Intensive Metabolic Care Unit of the KGM FN in Hradec Kr\u00E1lov\u00E9. Having cured the septic shock the authors prepared the patient to a reconstruction operation on alimentary tract by administering parenteral nutrition, treating the wounds and by motion rehabilitation. From day 150 on the patient was treated with low doses of enteral nutrition into the segment of intestine between the fistulas. A successful reconstruction of the alimentary tract was performed on the day 205 of the treatment with the time lapse of 146 days after the last surgical intervention.The paper draws attention to the importance of conservative metabolic care in the therapy of dishiscences of intestinal anastomoses not treated by acute surgery in time."@en . "Vnit\u0159n\u00ED l\u00E9ka\u0159stv\u00ED" . "5"^^ . "56let\u00E1 \u017Eena byla akutn\u011B operov\u00E1na pro z\u00E1n\u011Btlivou perforaci tlust\u00E9ho st\u0159eva. N\u00E1sledovala s\u00E9rie opakovan\u00FDch operac\u00ED pro recidivuj\u00EDc\u00ED iatrogenn\u00ED st\u0159evn\u00ED p\u00ED\u0161t\u011Ble a peritonitidu. Od 70. dne byla nemocn\u00E1 l\u00E9\u010Dena na jednotce intenzivn\u00ED metabolick\u00E9 p\u00E9\u010De KGM FN v Hradci Kr\u00E1lov\u00E9. Po zvl\u00E1dnut\u00ED septick\u00E9ho \u0161oku byla dlouhodob\u011B p\u0159ipravov\u00E1na k rekonstruk\u010Dn\u00ED operaci za\u017E\u00EDvac\u00EDho traktu pod\u00E1v\u00E1n\u00EDm parenter\u00E1ln\u00ED v\u00FD\u017Eivy, o\u0161et\u0159ov\u00E1n\u00EDm r\u00E1ny a pohybovou rehabilitac\u00ED. Od 150. dne byla aplikov\u00E1na mal\u00E1 d\u00E1vka enter\u00E1ln\u00ED v\u00FD\u017Eivy do segmentu st\u0159eva mezi p\u00ED\u0161t\u011Blemi. \u00DAsp\u011B\u0161n\u00E1 rekonstrukce za\u017E\u00EDvac\u00EDho traktu byla provedena 205. den l\u00E9\u010Den\u00ED s odstupem 146 dn\u016F od posledn\u00ED chirurgick\u00E9 intervence. Poopera\u010Dn\u00ED p\u00ED\u0161t\u011Bl byla zhojena p\u0159i pokra\u010Dov\u00E1n\u00ED parenter\u00E1ln\u00ED v\u00FD\u017Eivy konzervativn\u011B, co\u017E bylo ov\u011B\u0159eno 246. den enterol\u00FDzou. Pr\u00E1ce zd\u016Fraz\u0148uje v\u00FDznam konzervativn\u00ED metabolick\u00E9 p\u00E9\u010De v l\u00E9\u010Db\u011B chirurgicky akutn\u011B ne\u0159e\u0161iteln\u00FDch dehiscenc\u00ED st\u0159evn\u00EDch anastom\u00F3z a diskutuje p\u0159\u00EDzniv\u00FD efekt p\u0159\u00EDdavku enter\u00E1ln\u00ED v\u00FD\u017Eivy na p\u0159etrv\u00E1vaj\u00EDc\u00ED cholest\u00E1zu p\u0159i parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B."@cs . . . "Cholestatick\u00FD ikterus na parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B a l\u00E9\u010Debn\u00FD vliv enter\u00E1ln\u00ED aplikace - kazuistika" . "Cholestatick\u00FD ikterus na parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B a l\u00E9\u010Debn\u00FD vliv enter\u00E1ln\u00ED aplikace - kazuistika"@cs . "Cholestatic; icterus; during; parenteral; nutrition; therapeutic; effect; enteric; administration; report"@en . "S" . "9"^^ . . "11150" . "49" . "Zad\u00E1k, Zden\u011Bk" . . "Bl\u00E1ha, Vladim\u00EDr" . . . "Cholestatick\u00FD ikterus na parenter\u00E1ln\u00ED v\u00FD\u017Eiv\u011B a l\u00E9\u010Debn\u00FD vliv enter\u00E1ln\u00ED aplikace - kazuistika"@cs . "CZ - \u010Cesk\u00E1 republika" . . "Cholestatic icterus during parenteral nutrition and the therapeutic effect of enteric administration - a case report"@en . "Sobotka, Lubo\u0161" . "601162" . . "Cholestatic icterus during parenteral nutrition and the therapeutic effect of enteric administration - a case report"@en . . "684;688" . . "RIV/00216208:11150/03:00004353" . . . . . "RIV/00216208:11150/03:00004353!RIV08-MSM-11150___" . "Havel, Eduard" . "[F11EE9C2BAA7]" . . . . "5"^^ .