The organ’s dysfunction in dynamic of an acute pancreatitis

Keywords: acute pancreatitis; purulent-septic complications; the organ’s dysfunction

Abstract

Objective. To determine a dynamics of the organ’s dysfunction, depending on character of local complications of an acute pancreatitis (AP).

Маterials and methods. Results of treatment in 422 patients, suffering an AP, who were treated in Surgical Department of Poltava Regional Clinical Hospital in 2010 - 2015 yrs. Moderate and severe pancreatitis with development of local parapancreatic complications were diagnosed in 107 (25.4%) patients.

Results. In moderate course of AP a transitory primary ohgan’s dysfunction was observed in 65.9% patients. Second wave of the polyorgan insufficiency have occurred in 18.1% patients due to progress of purulent-septic complications on the 10 – 14-th day of the disease. In severe AP the polyorgan insufficiency in 7.9% patients have had continuous and in 14.3% – іntermittent character, caused by development of purulent-septic complications.

Conclusion. The risk of a second wave of the polyorgan insufficiency and unfavorable course of the disease rises together with extent of local parapancreatic complications on three and more anatomic sites, predominantly in patients with severe AP.

Author Biographies

O. Yu. Cherkun, Ukrainian Medical Stomatological Academy, Poltava

Oleksii Yu. Cherkun, Graduate

Department surgery №2

Ukrainian Medical Stomatological Academy.

Address: 23 Shevchenka Str, 36011, Poltava, Ukraine.

E-mail: chercun89@gmail.com

ORCID: https://orcid.org/0000-0003-1147-6146

D. A. Sytnik, Ukrainian Medical Stomatological Academy, Poltava

Dmytro A. Sytnik, PhD, Teaching assistant

department surgery №2

Ukrainian Medical Stomatological Academy.

ORCID: http://orcid.org/0000-0002-4885-334X

A. S. Kaliuzhka, Ukrainian Medical Stomatological Academy, Poltava

Andrii S. Kaliuzhka, PhD, Teaching assistant

department surgery №2

Ukrainian Medical Stomatological Academy.

ORCID: http://orcid.org/0000-0002-2093-2898

V. D. Sheiko, Ukrainian Medical Stomatological Academy, Poltava

Volodymyr D. Sheiko, Dr.Sc., Professor,

Head of department surgery №2,

Ukrainian Medical Stomatological Academy.

ORCID: http://orcid.org/0000-0001-9862-6543

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Published
2018-08-30
How to Cite
Cherkun, O. Y., Sytnik, D. A., Kaliuzhka, A. S., & Sheiko, V. D. (2018). The organ’s dysfunction in dynamic of an acute pancreatitis. Klinicheskaia Khirurgiia, 85(8), 15-17. https://doi.org/10.26779/2522-1396.2018.08.15
Section
General Problems of Surgery

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