title: [PECULIARITIES OF DIAGNOSIS AND TREATMENT OF AN ACUTE PANCREATITIS IN ELDERLY AND SENILE PATIENTS].
abstract: Peculiarities of clinical course, diagnosis and treatment of elderly patients for an acute pancreatitis were analyzed. There was established, that the clinical course of an acute pancreatitis is atypical with obscure symptoms. Late admittance to hospital, presence of concomitant diseases, low reactivity of the organism defense systems, morpho-functional changes in pancreatic gland complicate the early diagnosis. While the abdominal pain occurrence in the patient it is necessary always to keep in mind the diagnosis of an acute pancreatitis and not to rely on the diagnosis with which the patient was delivered to hospital. Because of presence of several concomitant diseases in a patient with an acute pancreatitis the treatment must be multimodal with multidisciplinary approach, including surgeon, anesthesiologist and therapeutist. Operative intervention is mandatory only in presence of a life-threatening complications and in insufficiency of conservative therapy. Miniinvasive technologies constitute the first-line procedures.
authors.forename: D V
authors.initials: DV
authors.lastname: Osadchuk
authors.forename: A V
authors.initials: AV
authors.lastname: Chornomydz
mesh_terms: D015746:Abdominal Pain / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D015897:Comorbidity; D057210:Delayed Diagnosis; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009765:Obesity / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010179:Pancreas / Q000473:pathology / Q000601:surgery; D010195:Pancreatitis / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies