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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">milmed</journal-id><journal-title-group><journal-title xml:lang="ru">Военная медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Military Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2074-5044</issn><publisher><publisher-name>Белорусский государственный медицинский университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.51922/2074-5044.2026.4.31</article-id><article-id custom-type="elpub" pub-id-type="custom">milmed-769</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ НАУЧНЫЕ ПУБЛИКАЦИИ. Лечебно-профилактические вопросы</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL SCIENTIFIC PUBLICATIONS. Medical and preventive questions</subject></subj-group></article-categories><title-group><article-title>Клинические особенности E. faecalis, Enterobacte riacea и MMP-9 в толстой кишке после ликвидации концевых колостом</article-title><trans-title-group xml:lang="en"><trans-title>Clinical features of E. faecalis and Enterobacteriaceae and MMP-9 in the colon after elimination of end colostomas</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ревтович</surname><given-names>М. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Reutovich</surname><given-names>M. Y.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кириленко</surname><given-names>Б. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kirylenka</surname><given-names>B. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробей</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Varabei</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Костюк</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kostiuk</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дыбов</surname><given-names>О. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Dybau</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Полуян</surname><given-names>О. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Poluyan</surname><given-names>O. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Минск</p></bio><bio xml:lang="en"><p>Minsk</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>УО «Белорусский государственный медицинский университет»</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>«Belarusian State Medical University»</institution><country>Belarus</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>УЗ «Минская областная клиническая больница»</institution><country>Беларусь</country></aff><aff xml:lang="en"><institution>Minsk Regional Clinical Hospital</institution><country>Belarus</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>27</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>4</issue><fpage>31</fpage><lpage>37</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ревтович М.Ю., Кириленко Б.В., Воробей А.В., Костюк С.А., Дыбов О.Г., Полуян О.С., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Ревтович М.Ю., Кириленко Б.В., Воробей А.В., Костюк С.А., Дыбов О.Г., Полуян О.С.</copyright-holder><copyright-holder xml:lang="en">Reutovich M.Y., Kirylenka B.V., Varabei A.V., Kostiuk S.A., Dybau A.G., Poluyan O.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://milmed.ejournal.by/jour/article/view/769">https://milmed.ejournal.by/jour/article/view/769</self-uri><abstract><p>Реконструктивно-восстановительная операция рассматривается колопроктологами и пациентами как конечный этап лечения после обструктивной резекции толстой кишки (ТК). Актуальность данной проблемы возрастает с каждым годом. Это обусловлено несколькими факторами: увеличением числа операций на ТК, требующих временной стомы, ростом выживаемости пациентов после лечения онкологических заболеваний, а также смещением фокуса современной медицины в сторону не только сохранения жизни, но и обеспечения ее высокого качества. В последние годы имеются данные о влиянии роли микробиоты толстой кишки на процесс ремоделирования ее стенки, что сказывается на успешности выполнения реконструктивно-восстановительной операции.</p></abstract><trans-abstract xml:lang="en"><p>Reconstructive restorative surgery is considered by coloproctologists and patients as the final stage of treatment following obstructive resection of the colon. The relevance of this issue increases every year. This is due to several factors: the growing number of colon surgeries that require a temporary stoma, improved survival rates of patients after cancer treatment, and a shift in the focus of modern medicine toward not only preserving life but also ensuring its high quality. In recent years, evidence has emerged regarding the role of the colonic microbiota in the process  of intestinal wall remodeling, which affects the success of reconstructive restorative surgery.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>закрытие концевой колостомы</kwd><kwd>несостоятельность толстокишечного анастомоза</kwd><kwd>E. faecalis</kwd><kwd>MMP-9</kwd><kwd>морфология стенки толстой кишки</kwd><kwd>экстрацеллюлярный матрикс</kwd></kwd-group><kwd-group xml:lang="en"><kwd>closure of end colostomy</kwd><kwd>colonic anastomotic leakage</kwd><kwd>E. faecalis</kwd><kwd>MMP-9</kwd><kwd>morphology of the colonic wall</kwd><kwd>extracellular matrix</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Claessens, I. The Ostomy Life Study: the everyday challenges faced by people living with a stoma in a snapshot / I. Claessens, R. Probert, C. 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