Peculiarities of early diagnosis and tactics of treatment in an acute pancreatitis in pregnant women

Keywords: pregnancy; acute pancreatitis; diagnosis; treatment.

Abstract

Objective. Improvement of the treatment results of an acute pancreatitis in pregnant women, using enhanced early diagnosis and tactics of treatment.

Маterials and methods. Analysis of the diagnosis and treatment results was conducted in 123 pregnant women, suffering an acute pancreatitis. In the main group (61 pregnant women) the elaborated algorithm of diagnosis and treatment for an acute pancreatitis in the period 2012 - 2018 yrs was applied, while in a comparison group (62 pregnant women) - the standard methods of diagnosis and treatment in an acute pancreatitis for the period of 2006 - 2012 yrs.

Results. In the main group in 100% of the patients an acute pancreatitis was revealed on early stage. This have had guaranteed the effect obtaining from the conservative therapy in 27 (44.3%) pregnant women, using miniinvasive surgical interventions - in 31 (50.8%) and to prevent postoperative lethality. In a comparison group in 26 (41.9%) patients an acute pancreatitis diagnosis was established in (8 ± 2.1) days after the disease beginning.

In a comparison group the conservative treatment effect was observed in 21 (33.9%) patients only. Two (3.2%) pregnant women died.

Conclusion. Application of the diagnostic-treatment algorithm, comparing with standard methods, permits to diagnose an acute pancreatitis in pregnant women on early stage, to reduce the complications and lethality rate.

Author Biographies

Ya. P. Feleshtynskyi, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Yaroslav.P. Feleshtynskyi, MD, PhD, professor,
Head of Department of Surgery and Proctology,
Shupyk National Medical Academy of Postgraduate Education.
Address: 9 Dorogozhytska Str., 04112, Kyiv, Ukraina,
tel.: 38(044)42-98-27
E-mail: surgeryproctology@ukr.net
ORCID http://orcid.org/0000-0002-8794-456X

О. V. Golyanovskyi, Kyiv Regional Centre for the Mother and Child Health Defense

Oleg.V.Golyanovskyi, MD, PhD, professor,
Head of Department of Obstetrics and Gynecology №1,
Shupyk National Medical Academy of Postgraduate Education.
Address: 9 Dorogozhytska Str., 04112,, Kyiv, Ukraina,
tel.: 38(044)489-49-35
E-mail: obstet.gynec@gmail.com
ORCID http://orcid.org/0000-0001-7344-5746

Т. P. Pavliv, Shupyk National Medical Academy of Postgraduate Education, Kyiv

Tetiana.P.Pavliv, graduate student,
Department of Surgery and Proctology,
Shupyk National Medical Academy of Postgraduate Education.
Address: 9 Dorogozhytska Str., 04112,, Kyiv, Ukraina,
tel.: 38(050)728-22-80
E-mail: teaaana@gmail.com
ORCID http://orcid.org/0000-0003-3608-7403

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Published
2018-07-26
How to Cite
Feleshtynskyi, Y. P., GolyanovskyiО. V., & PavlivТ. P. (2018). Peculiarities of early diagnosis and tactics of treatment in an acute pancreatitis in pregnant women. Klinicheskaia Khirurgiia, 85(6), 13-17. https://doi.org/10.26779/2522-1396.2018.06.13
Section
General Problems of Surgery