Pyo-septic complications of severe necrotizing forms of acute pancreatitis
Purpose of the study. Develop an algorithm for the diagnosis and treatment of purulent-septic complications of severe necrotizing forms of acute pancreatitis. Materials and methods. 5400 patients with acute pancreatitis were treated. To determine the infected pancreatic necrosis, the blood calciu...
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| Language: | English |
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Zaporizhzhia State Medical and Pharmaceutical University
2019-09-01
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| Series: | Сучасні медичні технології |
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| Online Access: | https://zmapo-journal.com/index.php/journal/article/view/145 |
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| author | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko K. A. Aleksanyan |
| author_facet | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko K. A. Aleksanyan |
| author_sort | N. N. Veligotsky |
| collection | DOAJ |
| description | Purpose of the study. Develop an algorithm for the diagnosis and treatment of purulent-septic complications of severe necrotizing forms of acute pancreatitis.
Materials and methods. 5400 patients with acute pancreatitis were treated. To determine the infected pancreatic necrosis, the blood calcium level, and blood procalcitonin were studied, and a fine-needle biopsy was performed. Surgical interventions were performed in 874 (16,2%) patients who underwent 1057 surgical interventions.
Results. 782 minimally invasive interventions were performed in 645 patients: video laparoscopic – 608 (77,7%), puncture-draining (under ultrasound control) – 102 (13,0%), endoscopic – 38 (4,9%). The following purulent-septic complications of severe forms of acute pancreatitis were revealed: infected pancreatic necrosis in 189 (17,9%), infected peripancreonecrosis in 167 (15,8%), infected pseudocystin109(12,5%)patients.173(19,8%) singlestage operative interventions were performed, 56 (6,4%) open-stage multistage patients were performed, and extended necrsequestrectomy was performed. Among minimally invasive interventions, minilaparotomy and lumbotomy were performed in 34 (4,3%).
Conclusion. The use of monitoring laboratory and instrumental methods of research in the diagnosis of severe forms of acute pancreatitis and its complications allows you to determine in time the degree and volume of necrotic lesions of the pancreas and develop surgical tactics. |
| format | Article |
| id | doaj-art-7fdff96e80e94c08949941b8c1309da9 |
| institution | DOAJ |
| issn | 2072-9367 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Сучасні медичні технології |
| spelling | doaj-art-7fdff96e80e94c08949941b8c1309da92025-08-20T02:52:02ZengZaporizhzhia State Medical and Pharmaceutical UniversityСучасні медичні технології2072-93672019-09-013(42)374010.34287/MMT.3(42).2019.9145Pyo-septic complications of severe necrotizing forms of acute pancreatitisN. N. Veligotsky0S. E. Arutyunov1M. V. Klymenko2K. A. Aleksanyan3Kharkiv Medical Academy of Post-graduate Education Kharkiv, UkraineKharkiv Medical Academy of Post-graduate Education Kharkiv, UkraineKharkiv Medical Academy of Post-graduate Education Kharkiv, UkraineKharkiv Medical Academy of Post-graduate Education Kharkiv, UkrainePurpose of the study. Develop an algorithm for the diagnosis and treatment of purulent-septic complications of severe necrotizing forms of acute pancreatitis. Materials and methods. 5400 patients with acute pancreatitis were treated. To determine the infected pancreatic necrosis, the blood calcium level, and blood procalcitonin were studied, and a fine-needle biopsy was performed. Surgical interventions were performed in 874 (16,2%) patients who underwent 1057 surgical interventions. Results. 782 minimally invasive interventions were performed in 645 patients: video laparoscopic – 608 (77,7%), puncture-draining (under ultrasound control) – 102 (13,0%), endoscopic – 38 (4,9%). The following purulent-septic complications of severe forms of acute pancreatitis were revealed: infected pancreatic necrosis in 189 (17,9%), infected peripancreonecrosis in 167 (15,8%), infected pseudocystin109(12,5%)patients.173(19,8%) singlestage operative interventions were performed, 56 (6,4%) open-stage multistage patients were performed, and extended necrsequestrectomy was performed. Among minimally invasive interventions, minilaparotomy and lumbotomy were performed in 34 (4,3%). Conclusion. The use of monitoring laboratory and instrumental methods of research in the diagnosis of severe forms of acute pancreatitis and its complications allows you to determine in time the degree and volume of necrotic lesions of the pancreas and develop surgical tactics.https://zmapo-journal.com/index.php/journal/article/view/145acute pancreatitispancreatonecrosispurulent-septic complications |
| spellingShingle | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko K. A. Aleksanyan Pyo-septic complications of severe necrotizing forms of acute pancreatitis Сучасні медичні технології acute pancreatitis pancreatonecrosis purulent-septic complications |
| title | Pyo-septic complications of severe necrotizing forms of acute pancreatitis |
| title_full | Pyo-septic complications of severe necrotizing forms of acute pancreatitis |
| title_fullStr | Pyo-septic complications of severe necrotizing forms of acute pancreatitis |
| title_full_unstemmed | Pyo-septic complications of severe necrotizing forms of acute pancreatitis |
| title_short | Pyo-septic complications of severe necrotizing forms of acute pancreatitis |
| title_sort | pyo septic complications of severe necrotizing forms of acute pancreatitis |
| topic | acute pancreatitis pancreatonecrosis purulent-septic complications |
| url | https://zmapo-journal.com/index.php/journal/article/view/145 |
| work_keys_str_mv | AT nnveligotsky pyosepticcomplicationsofseverenecrotizingformsofacutepancreatitis AT searutyunov pyosepticcomplicationsofseverenecrotizingformsofacutepancreatitis AT mvklymenko pyosepticcomplicationsofseverenecrotizingformsofacutepancreatitis AT kaaleksanyan pyosepticcomplicationsofseverenecrotizingformsofacutepancreatitis |