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FEATURES OF EARLY SYSTEMIC COMPLICATIONS IN PATIENTS WITH DESTRUCTIVE PANCREATITIS

A. G. Beburishvili, N. Sh. Burchuladze, A. S. Mazunov

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, ГБУ ВМНЦ центр хирургической гепатологии, кафедра факультетской хирургии c курсом эндоскопической хирургии ФУВ и курсом сердечно-сосудистой

Abstract

The aim of the research was to improve the treatment results of early systemic complications in pancreonecrotic patients.In the period of 2006—2013, 418 patients with this pathology were hospitalized. In 219 (52,4 %) cases they sought medical help on the 1st day after the disease onset, and in 199 (47,6 %) — at a later date. The severity of the patients was progressively evaluated by SAPS scale. The onset of systemic complications was observed in the first phase of pancreonecrosis in 411 (98.3%) cases, and at later stages — in 7 (1.7%) patients. The most common systemic complication of pancreonecrosis was hepatic insufficiency — 64,4 %. Respiratory (odds ratio of death — 87,230) and cardiovascular disorders (odds ratio of death — 63,011) contributed most significantly to the outcome of the underlying disease. The most frequent (45%) and severe systemic impairment was multiorgan failure.

Keywords

early systemic complications of pancreonecrosis, monoorganic dysfunction, polyorganic dysfunction, multisystem organ failure.

Contacts

Мазунов Антон Сергеевич — ассистент кафедры оперативной хирургии и топографической анатомии, Волгоградский государственный медицинский университет, e-mail: astra_83@mail.ru