CLINICAL AND EPIDEM IOLOGICAL CHARACTERISTICS OF LATE COMPLICATIONS DUE TO ACUTE PANCREATITIS
Journal Title: Праці Наукового товариства ім. Шевченка - Year 2015, Vol 43, Issue 2
Abstract
Introduction. Surgical treatment o f acute pancreatitis has changed considerably over the last decade. Today it has been proven that surgical interventions should occur within 15 to 20 days after the onset o f the disease. This tactic is based on the demarcation o f the aggressive lesions in the pancreas. In the period from the primary signs o f acute pancreatitis to the 15th-20th day, treatment is characterized as intensive conservative therapy. However, groups o f complications that develop with in a month after the onset o f the primary pathological process are often found. They became the object o f our research. Aim. To evaluate late complications of acute pancreatitis and problems o f its surgical treatment. Materials and methods. The research consisted o f 49 patients that were hospitalized in the clinic o f general surgery during theperiodfrom 2000 to 2015 with different complications o f acute pancreatitis. In the analyzed patients, these complications appeared more than one month after the initial diagnosis, therefore, we interpreted these pathological processes as late complications o f acute pancreatitis. All patients needed surgical interference. Results and discussions. Today it is proven that surgical treatment o f acute pancreatitis has to take place in the period o f 2-4 weeks after the onset o f the disease. It has been determined that late complications o f acute pancreatitis develop within a month after the beginning o f the disease. Such complications occur after the completion of treatment of acute destructive pancreatitis and the patient’s discharge from the hospital. Such patients, who are no longer under the supervision o f a doctor and are subsequently hospitalized with complications that need urgent surgical treatment. Conclusions. Modern tactics o f surgical treatment o f acute destructive pancreatitis create a lucid interval between the primary pathological process and its complications. After discharge from the in-patient department, such patients must remain under supervision. Surgical treatment of late complications of acute pancreatitis need further development.
Authors and Affiliations
Dariy BIDYUK, Anastasiia FURTAK
Keywords
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