Online ISSN: 2515-8260

Keywords : Acute Pancreatitis


Abdominal Compartment Syndrome Evaluation in Sever Acute Pancreatitis

Emad Mohammed Salah; Ibrahim Ali Heggy; AlsaiedAlnaimy Tamer; Rafek Kalifa Almabrok

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 991-996

ACS (abdominal compartment syndrome) is a serious condition that affects critically ill people. Because it predominantly affects individuals who are already sick, it may go unnoticed. The aim of study to find a link between IAP and the development of problems in patients with severe acute pancreatitis. We also wanted to see if there was a link between IAP and the development of complications in patients with severe acute pancreatitis (SAP). Patients and methods: This prospective study was conducted on 18 patients with AP hospitalised to the Surgical Intensive Care Unit at Zagazig University's Faculty of Medicine's General Surgery Department (SICU). During the first week after admission, all patients were divided into two groups based on their IAP. Patients with IAP 20 mmHg were assigned to the IAH group, whereas those with IAP 20mmHg were assigned to the normal IAP group. Results: Age, serum Lipase and APACHE were significantly higher among ACS cases and also ACS cases were significantly associated with DM. ACS cases were significantly associated with longer hospital stay also with bleeding, septic shock and mortality.The mean Lipase level was 959.72±103.58 with rang (800-1200). The mean Intra-abdominal pressure of studied patients was 12.94±4.12 and 38.9% of patients had IAH while 2 cases 11.1% had ACS. Conclusion: In patients hospitalised to the ICU with severe acute pancreatitis, IAH and ACS are common findings. IAH could make severe acute pancreatitis worse. Early detection of this possibly treatable aggravating condition could lead to early management and, in turn, a better prognosis. 

LAPAROSCOPY IN THE COMPLEX TREATMENT OF SEVERE ACUTE PANCREATITIS

F.Sh. Mavlyanov; M . Kh . Mukhammadiev; F.M. Shukurov; S.Zh. Kamolov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 3003-3007

To explore the possibilities of different methods
of surgical treatment of severe acute pancreatitis , two groups of surgical
patients were selected depending on the method of surgical treatment,
which were produced by different types
of " open " and laparoscopic operations. To assess the effectiveness of
the applied methods of treatment, in the postoperative period, we used
the following laboratory and physiological parameters: progression
or regression systemic inflammatory response syndrome (SIRS ), neutro
phil-lymphocyte ratio ( NLR), as well as integral scales for assessing
severity Ranson , APACHE - II and SAPS . The results obtained
demonstrate the advantages of laparoscopic surgical methods

Monitoring Of Organ Failure Development In Patients With Acute Pancreatitis

F.Sh. Mavlyanov; M.Kh. Mukhammadiev; S. Zh. Kamolov; F.M. Shukurov; Sh. Kh Mavlyanov

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 2523-2528

Annotation. Systemic inflammatory response syndrome is a protective response of the body aimed at eliminating the agent that caused the inflammatory process (infection, trauma, burns and tissue necrosis, etc.). The severity of the response depends on the amount of damage inflicted. This study was conducted to assess the possibility of using the systemic inflammatory response syndrome as an independent predictor in the development of complications of acute pancreatitis. For this, the following clinical and laboratory parameters were studied: body temperature, pulse, respiratory rate and the number of leukocytes in the blood, which were obtained within the first 24 hours after hospitalization and before the development of organ failure. The relationship between the presence of systemic inflammatory response syndrome and the development of organ failure was investigated.