ETIOPATHOGENESIS AND SURGICAL TREATMENT OF BILIARY PANCREATITIS. REVIEW
Introduction: Biliary pancreatitis is one of the most common pathologies, which is an important problem of modern surgery and has been on the rise over the past decades. One of the main etiological factors in the development of pancreatitis are diseases of the extrahepatic biliary tract. Pancreatitis of biliary genesis accounts for 26% to 60% of cases of acute inflammation of the pancreas. Chronicization of acute biliary pancreatitis reaches 43% of cases. The leading factors in the pathogenesis of "biliary" pancreatitis are: violation of outflow through the extrahepatic biliary tract and the ductal system of the pancreas, the occurrence of biliary-pancreatic reflux with the development of intraductal hypertension. Unfavorable outcomes of acute pancreatitis do not tend to decrease and are observed in 30% of the number of hospitalized patients, in 80% of which, according to pathological anatomical autopsies, death is due to a severe form of the disease. The main peaks of mortality in acute pancreatitis occur in two main phases - early, most often associated with the phenomena of pancreatogenic shock, and late, due to infectious complications of destructive forms. Purulent complications of acute pancreatitis are so diverse in form and localization that they require an almost individual approach to the treatment of each individual patient.
Objective: To review the literature on the surgical treatment of biliary pancreatitis.
Research methods: Literature search was carried out in search engines: Pubmed, Google Academy, elibrary.ru, as well as "manually". The search depth of Pubmed, Google Academy, elibrary.ru, as well as "manually", was not limited. The following filters were applied: full text, humans. Criteria for inclusion of publications in the review: publications that are in full-text access, in Russian and English, carrying statistically verified conclusions. Exclusion criteria: duplicate data, summaries of reports, newspaper publications, personal communications.
Results: Unfavorable outcomes of acute pancreatitis do not tend to decrease and are observed in 30% of the number of hospitalized patients, in 80% of which the fatal outcome according to pathological anatomical autopsies is due to a severe form of the disease. The main peaks of mortality in acute pancreatitis occur in two main phases - early, most often associated with the phenomena of pancreatogenic shock, and late, due to infectious complications of destructive forms. Purulent complications of acute pancreatitis are so diverse in form and localization that they require an almost individual approach to the treatment of each individual patient. Discussed and insufficiently unambiguous at the present time remains surgical tactics for various forms of acute pancreatitis in etiology.
Conclusions: Thus, high prevalence rates, frequent complications of biliary pancreatitis, the presence of numerous risk factors for its development necessitate the search for the most optimal methods for timely diagnosis and surgical treatment of this disease.
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Aimagambetov M.Zh., Masalov A.E., Lubyansky V.G., Omarov N.B., Abdrakhmanov S.T., Auyenov M.A., Zhussupov S.M., Bokin D.S. Etiopathogenesis and surgical treatment of biliary pancreatitis. Review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 4, pp. 176-187. doi 10.34689/SH.2022.24.4.022Похожие публикации:
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