Diagnostic criteria of acute pancreatitis in surgical practice in patients undergoing programmed hemodialysis
https://doi.org/10.17021/1992-6499-2025-2-51-60
Abstract
Recently, there has been an increase in the number of hospitalizations of patients with chronic renal insufficiency, along with a steady general increase in the number of patients undergoing programmed hemodialysis. In addition, acute pancreatitis often remains the leading diagnosis during hospitalization, but there is no consensus on diagnostic and therapeutic measures for this group of patients. The data on adverse outcomes and complications from surgical interventions in patients undergoing hemodialysis are also disappointing. A comprehensive diagnostic approach, taking into account medical history, clinical and laboratory data, and instrumental studies, makes it possible to differentiate the form of acute pancreatitis and choose a rational treatment strategy. At the same time, the lack of uniform diagnostic criteria leads clinicians to search for optimal clinical and laboratory data in the stratification of forms of acute pancreatitis in patients undergoing programmed hemodialysis. A comprehensive assessment of the severity of acute pancreatitis against the background of comorbid renal pathology provides reliable diagnostic data.
Supporting agencies: The authors declare that there is no external funding for the exploration and analysis work
About the Authors
S. R. Shamkhalov
Astrakhan State Medical University
Russian Federation
Russian Federation
Sultan R. Shamkhalov - postgraduate student.
Astrakhan
V. V. Zurnadzh’yants
Astrakhan State Medical University
Russian Federation
Russian Federation
Viktor A. Zurnadzhiants - Dr. Sci. (Med.), Professor, Head of the Department.
Astrakhan
E. A. Kchibekov
Astrakhan State Medical University
Russian Federation
Russian Federation
Eldar A. Kchibekov - Dr. Sci. (Med.), Professor.
Astrakhan
K. G. Gasanov
Astrakhan State Medical University
Russian Federation
Russian Federation
Kazim H. Gasanov - Cand. Sci. (Med.), Assistant of the Department.
Astrakhan
N. R. Lukmanova
Regional Oncological Dispensary
Russian Federation
Russian Federation
Nadiya R. Lukmanova - anesthesiologist-resuscitator.
Astrakhan
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For citations:
Shamkhalov S.R., Zurnadzh’yants V.V., Kchibekov E.A., Gasanov K.G., Lukmanova N.R. Diagnostic criteria of acute pancreatitis in surgical practice in patients undergoing programmed hemodialysis. Astrakhan medical journal. 2025;20(2):51-60. (In Russ.) https://doi.org/10.17021/1992-6499-2025-2-51-60
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