Clinical experience of correction of the motor-evacuation function of duodenum in acute destructive pancreatitis in the first phase of the disease
https://doi.org/10.25789/YMJ.2024.87.07
Abstract
The purpose of the study was clinical evaluation of the effectiveness of the treatment tactics developed by us using a Dextran-40 colloidal solution in patients with duodenal MEF disorders with ADP in the first phase of the disease. The use of the technique using the colloidal solution of Dextran-40 showed greater effectiveness in terms of the rate of reduction in intraduodenal pressure compared to the standard method of prolonged nasogastrojejunal decompression of the upper gastrointestinal tract used for this purpose. Among other things, this made it possible to improve the immediate results of treatment.
About the Authors
V. V. Saveliev
Medical Institute of M.K. Ammosov North- Eastern Federal University
Russian Federation
Russian Federation
Saveliev Vyacheslav Vasilyevich – MD, associate pro- fessor, professor
M. N. Markova
Medical Institute of M.K. Ammosov North- Eastern Federal University
Russian Federation
Russian Federation
Markova Maria Nikolayevna – senior lecturer.
M. M. Vinokurov
Medical Institute of M.K. Ammosov North- Eastern Federal University
Russian Federation
Russian Federation
Vinokurov Mikhail Mikhailovich – MD, professor of the department.
References
1. Baymakov S.R., Ashirmetov A.Kh., Rasulov Kh.K. Enteral insufficiency syndrome in acute pancreatitis, mechanisms of development and ways of detection // Bulletin of emergency medicine. 2021. No. 1. P. 65-76.
2. Restoration of intestinal propulsive function in patients with severe acute pancreatitis in the intensive care unit / V.V. Kiselev, S.S. Petrikov, M.S. Zhigalova [et al.] // Journal named after. N.V. Sklifosovsky "Emergency medical care". 2023. No. 2. P. 210-216.
3. Gulikyan G.N. Acute pancreatitis in surgical pathology // Moscow surgical journal. 2022. No. 2. P. 20-27. doi: 10.17238/2072-3180-2022-2-20-27.
4. Evdokimenko V.V. Features of the motor-evacuation function of the duodenum in pancreatitis: Diss. ...cand. med. sciences. Krasnoyarsk, 2006. 112 p.
5. Classification of acute pancreatitis: current state of the problem /s.F. Bagnenko, V.R. Goltsov, V.E. Savello [et al.] // Bulletin of surgery. 2015. No. 5. P. 86-92.
6. Kurish R.V. Surgical tactics and prediction of treatment results for chronic cholecystitis, taking into account the state of patency of the bile ducts and duodenum: Diss. ...cand. med. sciences. Ivano-Frankovsk, 1990. 169 p.
7. Unresolved issues in the treatment of acute destructive pancreatitis / D.V. Kulikov, A.Yu. Korolkov, V.P. Morozov [et al.] // Bulletin of experimental and clinical surgery. 2019. No. 2. P. 134-140.
8. The use of ozone therapy in the treatment of duodenostasis in edematous and destructive forms of acute pancreatitis / Yu.S. Vinnik, S.I. Petrushko, S.V. Yakimov [et al.] // Baikal Medical Journal. 2003. No. 4. P. 41-44.
9. Protsenko D.N., Tsvetkov D.S., Shifman E.M. Tactics of infusion therapy in patients with acute destructive pancreatitis: a review of the literature // Bulletin of Intensive Care named after A.I. Saltanova. 2024. No. 2. P. 94-106. doi: 10.21320/1818-474X-2024-2-94-106.
10. Skutova V.A. A.I. Danilov, Feoktistova Zh.A. Acute pancreatitis: current issues of diagnosis and complex treatment // Bulletin of the Smolensk State Medical Academy. 2016. No. 2. P. 78-84.
11. Tsuchiya T., A. Sofuni, T. Itoi. Successful EUS-guided gastrojejunostomy with very longterm patency for duodenal obstruction after severe acute pancreatitis // J. Hepatobiliary Pancreat Sci. 2022. Vol. 29. (6). P. 59-60. doi: 10.1002/jhbp.936.
12. Zerem E. Treatment of severe acute pancreatitis and its complications // World J. Gastroenterol. 2014. Vol. 20 (38). P. 13879-13892. doi: 10.3748/wjg.v20.i38.13879.
Review
For citations:
Saveliev V.V., Markova M.N., Vinokurov M.M. Clinical experience of correction of the motor-evacuation function of duodenum in acute destructive pancreatitis in the first phase of the disease. Yakut Medical Journal. 2024;(3):37-41. https://doi.org/10.25789/YMJ.2024.87.07
Views:
20
Email this article 