Severe Acute Pancreatitis. Choice of Treatment Tactics

Ibadov, R. A.; Abdullajanov, B. R.; Нишанов, М Ф

doi:10.25881/bpnmsc.2020.29.23.006

Cited by 4 publications

(1 citation statement)

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“…В структуре неотложных хирургических заболеваний ОП постепенно выходит на третье место, уступая только острому аппендициту и острому холециститу. Заболеваемость ОП за последние 20 лет увеличилась в 2 раза и, согласно литературным источникам, в Европе составляет от 4,6 до 102 случаев на 100000 населения в год [2,3]. В России этот показатель -38 случаев на 100000 населения, в Украине -102 случая на 100000 населения.…”

Section: Introductionunclassified

Treatment Strategy of Acute Pancreatitis Depending on the Degree of Pancreas Damage in General Surgery Unit

Masyukevich,

Garelik,

Marmysh

et al. 2023

Journal GrGMU

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Acute pancreatitis (AP) still remains an urgent problem of emergency abdominal surgery. In severe forms of this disease, there are a lot of complications, that lead to high mortality rate. There are many, often conflicting, opinions about surgical approach to AP. That is why, it’s important to find the optimal algorithm for AP treatment. The purpose of the study: to analyze the surgical approach to AP treatment in general surgery unit depending on the severity of AP and the extent of pancreatic damage. Material and methods: We performed a retrospective analysis of 347 case reports of the patients of Grodno City Clinical Hospital №4 with regard to the surgical approach used for the established diagnosis of AP. Results. Conservative treatment was the final strategy in 291 cases (83.86%). Minimally invasive interventions were effective in 37 out of 56 patients (66.07%); mortality at this stage was 1 patient (1.79%). There were open, mostly programmed interventions in the last stage of AP. They were performed in 19 patients, of these 4 patients (21.05%) died. Conclusions. The step-up approach (conservative treatment – minimally invasive interventions – open surgical interventions) permitted to reduce the number of open operations, as well as the overall mortality rate in the analyzed group.

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Section: Introductionunclassified

Treatment Strategy of Acute Pancreatitis Depending on the Degree of Pancreas Damage in General Surgery Unit

Masyukevich,

Garelik,

Marmysh

et al. 2023

Journal GrGMU

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Virtual Training Simulator and Medical Decision Support for Personalized Assessment of Severity and Prediction of the Patients' State (the Case of Acute Pancreatitis): Investigation of the Problem Area and Identification of the Problem

Rumovskaya,

Paramzin

2024

2024 4th International Conference on Technology Enhanced Learning in Higher Education (TELE)

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A case of severe combined damage to the pancreas and liver as a result of prolonged alcohol abuse

Marinchuk,

Pak,

Korobka

et al. 2024

jour

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A case of severe combined damage to the pancreas and liver caused by prolonged alcohol abuse is presented. Acute pancreatitis in the structure of emergency surgical pathology of the abdominal cavity is 25%. The frequency of erroneous diagnostic judgments reaches 35%. In this case, at the beginning, the disease was unequivocally regarded as acute alcoholic hepatitis, which led to a late diagnosis of acute pancreatitis. However, complex conservative therapy proved to be quite effective.

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Severe Acute Pancreatitis. Choice of Treatment Tactics

Cited by 4 publications

References 0 publications

Treatment Strategy of Acute Pancreatitis Depending on the Degree of Pancreas Damage in General Surgery Unit

Treatment Strategy of Acute Pancreatitis Depending on the Degree of Pancreas Damage in General Surgery Unit

Virtual Training Simulator and Medical Decision Support for Personalized Assessment of Severity and Prediction of the Patients' State (the Case of Acute Pancreatitis): Investigation of the Problem Area and Identification of the Problem

A case of severe combined damage to the pancreas and liver as a result of prolonged alcohol abuse

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