• V. V. Boyko
  • V. N. Lykhman
  • S. V. Tkach
  • A. N. Shevchenko
  • A. A. Merkulov
  • R. R. Osmanov
  • I. V. Volchenko
  • D. A. Miroshnichenko
Keywords: destructive pancreatitis, pancreatic necrosis, diagnosis, treatment.


Summary. Objective increasing the efficiency of diagnosis and treatment in patients with destructive forms of pancreatitis.

Materials and methods. 89 patients with acute destructive pancreatitis were examined. There were 37 men (41,5 %), 52 women (58,4 %). The average age of patients ranged from 28 to 64 years. In order to objectively assess the severity of the inflammatory process in the pancreas and surrounding tissues, organs of the abdominal cavity, clinical and biochemical studies were used, as well as high-tech methods such as ultrasound examination with dopplerometry, computed tomography.

Results. According to ultrasound, the edematous form of acute pancreatitis was diagnosed in 22 (27,4 %) patients during the examination, fatty pancreatic necrosis was diagnosed in 19 (21,3 %) patients. Hemorrhagic pancreatic necrosis was found in 31 (34,8 %) patients, mixed in 17 (19,1 %) patients. The study revealed the main etiological factors of the disease, while in 63 (70,8 %) patients the cause of acute pancreatitis was biliary pathology, alcohol etiology occurred in 17 (19,1 %) patients, and 9 (10,1 %)) - she had a post-traumatic character. Computed tomography was performed in cases of doubt in the data of ultrasound examination, especially in patients with overweight, and for the purpose of differential diagnosis in 23 (25,8 %) patients.

Conclusions. Acute destructive forms of pancreatitis have a polymorphic echography picture. Ultrasound diagnostics and computed tomography should be mandatory elements of the diagnostic algorithm for various forms of acute destructive pancreatitis. The diagnostic accuracy of these non-invasive methods in verification of acute destructive pancreatitis and its complications as a whole was 92,8 %. A decrease in the level of postoperative complications and mortality associated with a decrease in the progression of pancreatic necrosis because of suppression of pancreatic secretion.


1. Белик Б.М., Чернов В.Н., Алибеков А.З. Выбор лечебной тактики у больных острым деструктивным панкреатитом. Хирургия. Журнал им. Н.И. Пирогова. 2015;6:26—31.
2. Красильников Д. М., Абдульянов А. В., Зайнуллин И. В., Бородин М. А. Хирургическая тактика при панкреонекрозе и его осложнениях. Казанский медицинский журнал. 2016;6:898—903.
3. Тищенко А. М., Мушенко Е. В., Смачило Р. М. Изменение тактики лечения острого панкреатита в свете пересмотра классификации Atlanta 2012 года. Новости хирургии. 2015;6:693—701.
4. Jamaluddin M. A. Management of acute necrotizing pancreatitis. Indian journal of surgery. 2016;78:168—169.
5. Kumar, R. Risk factors of recurrent acute pancreatitis. Journal of medical science and clinical research. 2016;4:14895—14897.
6. Qiang Guo. Reply to organfailure and infection in necrotizingpancreatitis. Annals of surgery. 2017;2:64—65.
7. Ross A., Gluck M., Irani S. Combined endoscopic and percutaneous drainage of organized pancreatic necrosis. Gastrointestinal endoscopy. 2010;71:79—84.
8. Seung W.H., Jinwoo K., Jeonghwan Y. Acute emphysematous pancreatitis with fulminant multi-organ failure. Korean journal of pancreas and biliary tract. 2016;21:76—81.
9. Vicente A.C., Campos V.M., Duarte A.C. Assessment of organ failure in 168 patients with acute pancreatitis in a single university center: Which patient is at risk. HPB. 2016;18:326-334.
10. Wang M. Organ dysfunction in the course of severe acute pancreatitis Pancreas. 2016;45:5—7.
How to Cite
Boyko, V. V., Lykhman, V. N., Tkach, S. V., Shevchenko, A. N., Merkulov, A. A., Osmanov, R. R., Volchenko, I. V., & Miroshnichenko, D. A. (2020). OPTIMIZATION OF DIAGNOSTICS AND TREATMENT OF DESTRUCTIVE FORMS OF ACUTE PANCREATITIS. Kharkiv Surgical School, (1), 98-103. https://doi.org/10.37699/2308-7005.1.2020.15

Most read articles by the same author(s)

1 2 3 > >>