ДИАГНОСТИЧЕСКИЕ КРИТЕРИИ В ХИРУРГИЧЕСКОЙ ПРАКТИКЕ ОСТРОГО ПАНКРЕАТИТА У ПАЦИЕНТОВ, НАХОДЯЩИХСЯ НА ПРОГРАММНОМ ГЕМОДИАЛИЗЕ
Abstract
В последнее время отмечается увеличение госпитализаций пациентов с хронической почечной недостаточностью, наряду неуклонным общим ростом больных, находящихся на программном гемодиализе, и нередко острый панкреатит остается также ведущим диагнозом при госпитализации, однако в диагностических и лечебных мероприятиях у данных больных отсутствуют единые взгляды. Неутешительны также данные о неблагоприятных исходах и осложнениях от хирургических вмешательств у пациентов находящимся на гемодиализе. Комплексный диагностический подход с учетом анамнеза, клинико-лабораторных данных, инструментальных исследований позволяет дифференцировать форму острого панкреатита, выбор рациональной тактики лечебных мероприятий, а сохраняющее отсутствие единых диагностических критериев подводит клиницистов к поиску абсолютных клинико-лабораторных данных в стратификации форм острого панкреатита у пациентов, находящихся на программном гемодиализе и их комплексная оценка обеспечивает получение достоверных диагностических данных.
About the Authors
Султан ШамхаловRussian Federation
Виктор Зурнаджьянц
Элдар Кчибеков
Казим Гасанов
Надия Лукманова
References
1. Revishvili A. Sh., Olovyanny V. E., Sazhin V. P., Markov P. V., Gogia B. Sh., Gorin D. S., Ushakov A. A., Orudzheva S. A., Kuznetsova A.V., Shelina N. V., Ovechkin A. I. Surgical care in the Russian Federation. Moscow. 2023. 186 p. (In Russ.).
2. Gulikyan G. N. Acute pancreatitis in surgical pathology in modern medicine. Moscow Surgical Journal. 2022; 2: 20-27. doi: 10.17238/2072-3180-2022-2-20-27. (In Russ.).
3. Bogdanov S. N., Mukhin A. S., Voloshin V. N., Sedelnov L. A. Classification issues of acute pancreatitis: a practical point of view- surgical surgeon. Perm Medical Journal 2020; 37(1): 102-110. doi: 10.17816/pmj371102%110. (In Russ.).
4. Singh A. K., Samanta J., Shukla J., Birda C. L., Dhar J, Gupta P, Kumar-M. P, Gupta V, Yadav T. D., Sinha S. K, Kochhar R. Impact of Different Patterns of Organ Failure on Mortality in Acute Necrotizing Pancreatitis. Pancreas. 2021; 50(7): 1030–1036. doi: 10.1097/MPA.0000000000001880.
5. Dyuzheva T. G., Schaefer A. V., Semenenko I. A., Shmushkovich T. B. Widespread parapancreatitis determines the severity of patients with acute pancreatitis in the first week of the disease. Moscow Surgical Journal. 2018; 3: 7-8. (In Russ.).
6. Korymasov E. A., Khoroshilov M. Yu. "Lightning-fast" acute pancreatitis: diagnosis, prognosis, treatment. Annals of surgical hepatology. 2021; 26(2): 50-59. doi: 10.16931/10.16931/1995-5464.2021-2-50-60. (In Russ.).
7. Sovtsov S. A. Acute pancreatitis – various surgical approaches in the treatment of its complications. Infections in surgery. 2018; 16 (1-2): 52-53. (In Russ.).
8. Gulikyan G. N., Shvets L. I. Topical issues of diagnosis of acute destructive pancreatitis. Literature Review. Moscow Surgical Journal. 2024; 2: 116-123. doi: 10.17238/2072-3180-2024-2-116-123. (In Russ.).
9. Belik B. M., Chirkinyan G. M., Tenchurin R. Sh., Abduragimov Z. A., Mareev D. V., Dadayan A. R., Oskanian M. A., Sapraliev A. R. The choice of treatment tactics in patients with severe acute pancreatitis, taking into account the factor of intra-abdominal hypertension. Emergency Medical care. N.V. Sklifosovsky Journal. 2020; 9 (3): 400-409. doi: 10.23934/2223-9022-2020-9-3-400-409. (In Russ.).
10. Hasanov K. G., Zurnadzhiants V. A., Kchibekov E. A., Zurnadzhiants A.V., Filimonov O. Y. Specificity of differential diagnosis of uremic pseudoperitonitis and peritonitis in patients undergoing renal replacement therapy (programmed hemodialysis). Astrakhan Medical Journal. 2021; 16 (1): 6-14. (In Russ.).
11. Gallyamov E. A., Agapov M. A., Lutsevich O. E., Kakotkin V. V. Modern technologies for the treatment of infected pancreatic necrosis: a differentiated approach. Annals of surgical hepatology. 2020; 25 (1): 69-78. doi: 10.16931/1995–5464.2020169–78. (In Russ.).
12. Bálint E. R., Fűr G., Kiss L. Németh D. I., Soós A., Hegyi P., Szakács Z., Tinusz B., Varjú P., Vincze Á., Erőss B., Czimmer J., Szepes Z., Varga G., Rakonczay Z. Jr. Assessment of the course of acute pancreatitis in the light of aetiology: a systematic review and meta–analysis. Sci Rep. 2020; 10 (1): 17936. doi : 10.1038/s41598–020–74943–8
13. Zurnadzhiants V. A., Kchibekov E. A., Hasanov K. G. On the issue of modern diagnostics uremic pancreatitis and destructive pancreatitis in patients undergoing renal replacement therapy (programmed hemodialysis) // Bulletin of VolGMU. 2021; 79 (3): 133-136. doi: 10.19163/1994-9480-2021-3(79)-133-136. (In Russ.).
14. Abramova, E. E. Risk factors for deaths in patients on hemodialysis / E. E. Abramova, I. E. Koroleva, N. L. Tov, E. A. Movchan, D. A. Naborshchikov. Journal of Siberian Medical Sciences. 2015; 6: 15. (In Russ.).
15. Tomilina N. A., Andrusev A.M., Peregudova N. G., Shinkarev M. B. Substitution therapy for terminal chronic renal failure in the Russian Federation in 2010-2015. Report on the data of the All-Russian Register of Renal Replacement Therapy of the Russian Dialysis Society, Part One. Nephrology and dialysis. 2017; 19(4): 1-95. doi: 10.28996/1680-4422-2017-4suppl-1-95. (In Russ.).
16. Webster A. C, Nagler E. V, Morton R. L, Masson P. Chronic Kidney Disease. Lancet. 2017; 389(1007): 1238-1252. doi: 10.1016/S0140-6736(16)32064-5.
17. Mozzhegorova I. V., Darvin V. V., Krasnov E. A., Devyatkina T. V. Modern surgical technologies in the treatment of patients with moderate acute pancreatitis. Fundamental and applied problems of human health in the North . Collection of materials of the V Russian Scientific and practical Conference. 2020; 204-209. (In Russ.).
18. García–Rayado G., Cardenas–Jaén K., de–Madaria E. Towards evidence–based and personalized care of acute pancreatitis. United European Gastroenterol J. 2020; 8 (4): 403-409. doi: 10.1177/2050640620903225.
19. Nazarov Sh. K., Alizade S. G., Ayubov D. K., Nazarov T. S., Nosiri K. N., Asadulloeva E. I. Modern principles of diagnosis of acute destructive pancreatitis. Healthcare of Tajikistan. 2022; 4: 112-122. doi: 10.52888/0514-2515-2022-355-4-112-122. (In Russ.).
20. Komolafe O, Pereira S. P., Davidson B. R., Gurusamy K. S., Komolafe O., Pereira S. P., Davidson B. R., Gurusamy K. S. Serum C-reactive protein, procalcitonin, and lactate dehydrogenase for the diagnosis of pancreatic necrosis. Cochrane Database of Systematic Reviews. 2017; 4 (4). doi: 10.1002/14651858.CD012645
21. Hasanov K. G., Zurnadzhiants V. A., Kchibekov E. A., Shikhragimov M. I. The role of acute phase proteins in the diagnosis of uremic pancreatitis and destructive pancreatitis in patients undergoing renal replacement therapy (programmed hemodialysis). Perm Medical Journal. 2021; 38(5): 115-122. (In Russ.).
22. Yuan L, Jin X. Predictive Value of Serum NGAL and β2 Microglobulin in Blood and Urine among Patients with Acute Pancreatitis and Acute Kidney Injury. Arch Esp Urol. 2023; 76(5): 335-340. doi: 10.56434/j.arch.esp.urol.20237605.39.
23. Kulikov D. V., Korolkov A. Yu., Morozov V. P., Vaganov A. A. Unresolved issues of treatment of acute destructive pancreatitis // Bulletin of Experimental and Clinical Surgery. 2019; 12 (2): 134-140. (In Russ.).
24. Rudenko V. A., Kakaulina L. N., Verzakova I. V., Karamova I. M. Predicting the severity of acute pancreatitis using ultrasound markers and clinical scales. N.V. Sklifosovsky Journal "Emergency medical care". 2022; 11(62): 274-279. doi: 10.23934/2223-9022-2022-11-2-274-279. (In Russ.).
25. Kozhanova T. G., Mukhanov J. J. Pathomorphological features of the repair of acute pancreatic necrosis in its various forms. Alley of Science. 2020; 12 (51): 135-138. (In Russ.).
26. Baron T. H., DiMaio C. J., Wang A. Y., Morgan K. A. American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis // Gastroenterology. 2020; 158 (1): 67-75. doi: 10.1053/j.gastro.2019.07.064.
27. Arablinsky A.V., Titov M. Y. CT and MRI in the diagnosis of the phase course of pancreatic necrosis (literature review) // Medical imaging. 2022; 26 (2): 139-153. doi: 10.24835/1607-0763-1110. (In Russ.).
28. Popov A.V., Mineev D. A., Ershova A. I., Popova N. N. Early diagnosis of mild acute pancreatitis. Surgery. 2016; 7: 11-17. (In Russ.).
29. Podoluzhny V. I. Acute pancreatitis: Modern concepts of etiology, pathogenesis, diagnosis and treatment. Fundamental and clinical medicine. 2017; 2(4): 62-71. (In Russ.).
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