November 12, 2014
Notes: Sheiko, V D
Oganesian, A H
Shkurupii, O A
Pryhid’ko, R A
Klin Khir. 2013 Nov;(11):24-6.
Reference Type: Journal Article
Record Number: 4773Author: Sheiko, V. D. and Oganezian, A. H.
Title: [The surgical tactic optimization in local accumulations of liquid in patients with severe acute pancreatitis]
Journal: Klin Khir
Short Title: [The surgical tactic optimization in local accumulations of liquid in patients with severe acute pancreatitis]
Alternate Journal: Klinichna khirurhiia / Ministerstvo okhorony zdorov’ia Ukrainy, Naukove tovarystvo khirurhiv Ukrainy
ISSN: 0023-2130 (Print)
Accession Number: 24502003
Aged, 80 and over
Pancreatitis, Acute Necrotizing/immunology/*surgery/therapy/ultrasonography
Systemic Inflammatory Response
Abstract: The results of examination and treatment of 56 patients, having local accumulations of liquid (IAL) in severe acute pancreatitis (SAP), were analyzed. Transcutaneous puncture-draining sanation was performed in 47 (83.9%) patients; 7 (12.5%)–were treated without surgical intervention; in 2 (3.6%)–open operative interventions were done. SIRS was revealed in 31 (55.4%) patients, the signs of the LAL infectioning in accordance to the ultrasonographic investigation data, computeric tomography (CT) without SIRS was observed in 2 (93.6%), the compression features–in 45 (80.4%). Application of surgical tactics proposed in accordance to the data of the ultrasonographic monitoring of LAL, the signs of compression and the SIRS presence with determination of contents and infectioning have had permitted to improve the treatment results in patients, suffering SAP.