[Diagnosis of acute destructive biliary pancreatitis].
The article presents an analysis of results of examinations and treatment of 98 patients and an assessment of the clinical picture, laboratory and instrumental findings. The significance of USI as a method of screening diagnosis is stressed. The indications and possible endoscopic and videolaparoscopic interventions for the diagnosing and treatment of acute destructive biliary pancreatitis (ADP) are determined. The author proposes an algorithm of the diagnosing and treatment of ADP. The use of the algorithm allowed the postoperative lethality after ADP to be decreased from 20.8% to 14%.
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D000465:Algorithms; D000681:Amylases / Q000097:blood; D001663:Bilirubin / Q000097:blood; D015415:Biomarkers / Q000097:blood*; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D042882:Gallstones / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007958:Leukocyte Count; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D019283:Pancreatitis, Acute Necrotizing / Q000097:blood / Q000175:diagnosis* / Q000209:etiology; D011379:Prognosis; D011860:Radiography, Abdominal / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods*; D000637:Transaminases / Q000097:blood; D014463:Ultrasonography
D015415:Biomarkers; D000637:Transaminases; D000681:Amylases; D001663:Bilirubin