Current approaches to diagnosis, course and treatment of acute necrotizing pancreatitis

The anesthesiologist and specialist on medical emergency conditions, Neurosurgeon, Orthopaedic Trauma, Surgeon

Bukovynian State Medical University, Department of Surgery, city of Chernivtsi

Abstract. The paper presents the modern principles of diagnosis and treatment of acute necrotizing pancreatitis. In case of very severe clinical course of acute necrotizing pancreatitis and enzyme shock, early primary intravenous infusion of Gecoton® solution is recommended, thus ensuring the achievement of rapid and stable volemic effect. 

Key words: acute pancreatitis, infusion, monitoring, Gecoton®.

Despite numerous investigations into the pathogenesis and a large-scale clinical implementation of pathogenically substantiated conservative therapy regimens and up-to-date high-technology methods of surgical invasion, no principal improvement of the treatment results are seen to date [4, 6, 8].

An immediacy of the problem of acute necrotizing pancreatitis in Ukraine, in medico-social terms, is conditioned by an expensive conservative therapy, high incidence of repeated multiple surgical interventions, unsatisfactory results of surgical treatment, high level of postoperative lethality and incapacitation, especially among persons of an active working age [1, 4 – 7]. All of this translates into the topicality of researches directed at the development of new and optimization of the existing diagnostic/curative approaches in acute necrotizing pancreatitis.

Objective of the research is to develop new and optimize the existing approaches to diagnosis, to prognosticate the course and treatment of acute necrotizing pancreatitis and to evaluate the efficacy of their clinical use.

22 August, 2017