DIAGNOSIS OF LOCAL COMPLICATIONS OF ACUTE PANCREATITIS AT THE STAGES OF ITS TREATMENT
Journal Title: World Science - Year 2017, Vol 4, Issue 12
Abstract
The aim. To study the diagnostic value of individual clinical and laboratory manifestations associated with the development of intra-and peripancreatic collections according to the Atlanta 2012 Classification Review for the timely addition or modification of the tactics. Materials and methods. 72 patients were examined. In accordance with the tasks, the patients were divided into 3 groups. The first (main) group of the study consisted of 30 (41.67 %) patients who used CT for indications and the classification of acute pancreatitis was used according to the View. The comparison group consisted of 32 patients (44.44 %) who were treated in 2011 and 2013, they used the Atlanta 1992 Classification. The control group consisted of 10 patients (13.89 %) who were hospitalized for scheduled surgical intervention in a satisfactory condition. The examination was performed three times: during hospitalization (first study), 1 week (second study) and 2 weeks after hospitalization or discharge (third study). Results and discussion. The most characteristic clinical symptom is abdominal pain, which in 100 % of cases is accompanied by necrotic pancreatitis, and 70 % - oedematosis. The main laboratory symptom was lymphopenia, which occurred in 70 % of cases (78.95 % and 54.55 % for necrotic and oedematosis pancreatitis, respectively). Nausea was observed at a frequency of 70.0 %, with a significantly higher incidence (p = 0.042) in patients with necrotic pancreatitis (84.21 %) than in the subgroup with oedematosis form disease (45.45 %). Among the local complications are dominated by encapsulated forms. Lymphocyte level was determined, which helps to predict the development of local complications, their infection and the need for surgical intervention. Conclusion.The most characteristic clinical symptom is abdominal pain, which in 100 % of cases is accompanied by necrotic pancreatitis, and 70 % - oedematosis. The main laboratory symptom was lymphopenia, which occurred in 70 % of cases (78.95 % and 54.55 % for necrotic and oedematosis pancreatitis, respectively). Among the local complications are dominated by encapsulated forms. Lymphocyte level was determined, which helps to predict the development of local complications, their infection and the need for surgical intervention.
Authors and Affiliations
Volodymyr Ivanovych Desyateryk, Maryna Sergiivna Кrykun
Keywords
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