SPIRAL COMPUTED TOMOGRAPHY IN DIAGNOSTICS OF COMPL ICATIONS OF ACUTE PANCREATITIS
Abstract
BACKGROUND. Early detection of complications of pancreatic necrosis including purulent-septic ones largely predetermines the outcome of the treatment. In this article, we evaluated the role and capabilities of X-ray computed tomography in the diagnosis of acute pancreatitis complications.
OBJECTIVE. Studying the capabilities of spiral computed tomography (SCT) in the diagnosis of acute severe pancreatitis complications.
MATERIAL AND METHODS. Spiral CT results in 56 patients with severe acute pancreatitis and suspected septic complications have been analyzed.
RESULTS. Revealed complications of the severe acute pancreatitis: circumscribed collection of fluid (32), abscesses of bursa omentalis and retroperitoneal fat (18), retroperitoneal phlegmon (6). The semiotics of revealed complications has been described, and their relation with other organs and structures has been evaluated.
CONCLUSIONS. SCT conducted with contrasting techniques, reveals septic complications of severe acute pancreatitis, ascertains their form, location and amount, as well as the relation with other organs and structures which helps identify the tactics of management, indications for surgery and assess its effectiveness.
About the Authors
T. G. Barmina
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
F. A.-K. Sharifullin
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
O. A. Zabavskaya
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
P. A. Ivanov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department, Moscow
Russian Federation
Russian Federation
References
1. Toh S.K., Phillips S., Johnson C.D. A prospective audit against national standards of the presentation and management of acute pancreatitis in the South of England // Gut. – 2000. – Vol. 46, N. 2. – P. 239–243.
2. Turcu F. Minimally invasive approach in gallstone disease complicated with acute pancreatitis // Chirurgia (Bucur). – 2005. – Vol. 100, N. 1. – P. 35–40.
3. Костюченко А.Л., Филин В.И. Неотложная панкреатология: справочник для врачей. – М: ДЕАН, 2000. – 480 с. Kostyuchenko A.L., Filin V.I. Neotlozhnaya pankreatologiya: spravochnik dlya vrachey [Emergency pancreatology]. Moscow: DEAN Publ., 2000. 480 p. (In Russian).
4. Пугаев А.В., Ачкасов Е.Е. Острый панкреатит. – М: Профиль, 2007. – 360 с. Pugaev A.V., Achkasov E.E. Ostryy pankreatit [Acute pancreatitis]. Moscow: Profil’ Publ., 2007. 360 p. (In Russian).
5. Карапыш Д.В. Профилактика гнойно-септических осложнений острого деструктивного панкреатита: дис. … канд. мед. наук. – Рязань, 2009. – 154 с. Karapysh D.V. Profilaktika gnoyno-septicheskikh oslozhneniy ostrogo destruktivnogo pankreatita: dis. … kand. med. nauk. [Prevention of septic complications of acute destructive pancreatitis. Cand. med. sci. diss.]. Ryazan’, 2009. 154 p. (In Russian).
6. Гальперин Э.И., Дюжева Т.Г., Докучаев К.В. Минимально инвазивные вмешательства на сальниковой сумке и забрюшинной клетчатке в профилактике и лечении инфицированного панкреонекроза // Актуальные проблемы современной хирургии: сб. тезисов междунар. конгр. хирургов. – М., 2003. – С. 56. Gal’perin E.I., Dyuzheva T.G., Dokuchaev K.V. Minimal’no invazivnye vmeshatel’stva na sal’nikovoy sumke i zabryushinnoy kletchatke v profilaktike i lechenii infitsirovannogo pankreonekroza [Mini-invasive intervention omental and retroperitoneal fat in the prevention and treatment of infected pancreatic necrosis]. Aktual’nye problemy sovremennoy khirurgii: sb. tezisov mezhdunar. kongr. khirurgov [Actual problems of modern surgery: a collection of abstracts of the international surgical congress]. Moscow, Febrary 22–25, 2003. 56. (In Russian).
7. Шалимов С.А., Радзиховский А.П., Нечитайло М.Е. Острый панкреатит и его осложнения. – К.: Наукова думка, 1990. – 271 с. Shalimov S.A., Radzikhovskiy A.P., Nechitaylo M.E. Ostryy pankreatit i ego oslozhneniya [Acute pancreatitis and its complications]. Kiev: Naukova dumka Publ., 1990. 271 p. (In Russian).
8. Бойко Т.Н. Компьютерная томография в диагностике и лечении гнойных осложнений острого панкреатита: автореф. дис. … канд. мед. наук. – Иркутск, 1994. – 22 c. Boyko T.N. Komp’yuternaya tomografiya v diagnostike i lechenii gnoynykh oslozhneniy ostrogo pankreatita: avtoref. dis. … kand. med. nauk [Computed tomography in the diagnosis and treatment of purulent complications of acute pancreatitis. Abs. cand. med. sci. diss.]. Irkutsk, 1994. 22 p. (In Russian).
9. Ходарева Н.Н. Компьютерно-томографическая семиотика острых заболеваний и повреждений поджелудочной железы и их осложнений: дис. … канд. мед. наук. – М., 1999. – 150 с. Khodareva N.N. Komp’yuterno-tomograficheskaya semiotika ostrykh zabolevaniy i povrezhdeniy podzheludochnoy zhelezy i ikh oslozhneniy: dis. … .kand. med. nauk [CT semiotics of acute diseases and injuries of the pancreas and their complications. Cand. med. sci. diss.]. Moscow, 1999. 150 p. (In Russian).
Review
For citations:
Barmina T.G., Sharifullin F.A., Zabavskaya O.A., Ivanov P.A. SPIRAL COMPUTED TOMOGRAPHY IN DIAGNOSTICS OF COMPL ICATIONS OF ACUTE PANCREATITIS. Russian Sklifosovsky Journal "Emergency Medical Care". 2014;(4):31-35.
Views:
649
Email this article 