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Journal articles on the topic 'Necrotic pancreatitis'

Author: Grafiati

Published: 28 May 2022

Last updated: 31 July 2025

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1

Kitavina, Svetlana I., Victor S. Petrovichev, Aleksandr N. Ermakov, Nikolay A. Ermakov, and Igor G. Nikitin. "Encapsulated necrotic pancreatitis." Digital Diagnostics 2, no. 4 (2022): 471–80. http://dx.doi.org/10.17816/dd71156.

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This study presents a rare clinical case of encapsulated necrotic pancreatitis, which was a complication of acute pancreatitis that arose against the background of alimentary disorders. The aspects of the semiotics of radiation diagnostic methods in the follow-up control of these pathologies were presented. This case is notable for the manifestation of diseases upon hospital admission, as in the classical edematous form of acute pancreatitis, with a further increase in negative dynamics. This demonstrated the possible stepwise disease development, accompanied by a series of follow-up com

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2

Boyko, V. V., A. O. Merkulov, A. M. Shevchenko, et al. "FEATURES OF DIAGNOSTIC SURGICAL TREATMENT OF COMPLICATIONS OF NECROTIC PANCREATITIS." Kharkiv Surgical School, no. 5 (November 20, 2024): 5–9. https://doi.org/10.37699/2308-7005.5.2024.01.

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Summary. The aim of the study. On the basis of the conducted research, optimize the program of comprehensive diagnosis ofcomplications of necrotic pancreatitis and the principles of surgicaltreatment of infected pancreatic necrosis.Materials and methods. Analysis of diagnosis and treatment of496 patients with acute pancreatitis was performed. Necrotic formsof purulent pancreatitis were diagnosed in 178 (35.9%) patients.Clinical, biochemical and bacteriological methods of laboratorydiagnostics were carried out upon admission to the hospital and every2-5 days depending on the severity of their c

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3

Boyko, V. V., A. O. Merkulov, A. M. Shevchenko, et al. "FEATURES OF DIAGNOSTIC SURGICAL TREATMENT OF COMPLICATIONS OF NECROTIC PANCREATITIS." Kharkiv Surgical School, no. 6 (December 20, 2024): 5–9. https://doi.org/10.37699/2308-7005.6.2024.01.

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Summary. The aim of the study. On the basis of the conducted research, optimize the program of comprehensive diagnosis of complications of necrotic pancreatitis and the principles of surgical treatment of infected pancreatic necrosis. Materials and methods. Analysis of diagnosis and treatment of 496 patients with acute pancreatitis was performed. Necrotic forms of purulent pancreatitis were diagnosed in 178 (35.9%) patients. Clinical, biochemical and bacteriological methods of laboratory diagnostics were carried out upon admission to the hospital and every 2-5 days depending on the severity of

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4

Kaliev, A. A. "Clinical and morphologic comparison of pancreatic damage in acute destructive pancreatitis." Kazan medical journal 94, no. 4 (2013): 464–68. http://dx.doi.org/10.17816/kmj1950.

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Aim. To compare structural changes revealed at autopsy with clinical data, allowing to clinically predict the pancreatic damage in patients with acute destructive pancreatitis. Methods. Case histories and post-mortem pancreatic tissue samples from 12 patients who died of acute destructive pancreatitis, were examined. Results. Autopsies revealed the similar frequency of pancreatic anterior and posterior surface damage. Three types of pancreatic damage were observed: (1) total or extensive necrosis - 5 cases; (2) pancreatic fatty degeneration - 3 cases; (3) inflammatory changes with local necrot

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Mishchenko, V. V., P. I. Pustovoit, R. Yu Vododyuk, V. V. Velichko, and V. V. Goryachy. "ARROSIVE BLEEDING WITH PANCREATIC NECROSIS — TACTICAL APPROACHES." Kharkiv Surgical School, no. 1 (February 20, 2020): 85–88. http://dx.doi.org/10.37699/2308-7005.1.2020.12.

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Summary. The problem of hemorrhagic complications of destructive pancreatitis is relevant. The aim of the study was to study the frequency and sources of hemorrhagic complications in patients with pancreatic necrosis, to evaluate the tactics of diagnosis and the effectiveness of methods to stop bleeding. Materials and methods. A study of the results of treatment of 40 patients with acute necrotizing pancreatitis was conducted. Results and its discussion. In 67.5 % of patients with acute necrotizing pancreatitis, hemorrhagic complications in the form of arrosive bleeding were

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Wang, Bing, Lu Xia, Meng Zhou, et al. "Correlation between Balthazar CT grading, CECT necrosis volume, attenuation value, and prognosis of patients with acute necrotizing pancreatitis." Medicine 103, no. 21 (2024): e38203. http://dx.doi.org/10.1097/md.0000000000038203.

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To analyze the correlation between Balthazar CT grading and contrast-enhanced CT necrosis volume and attenuation value and prognosis of patients with acute necrotizing pancreatitis. Ninety-two patients with acute necrotizing pancreatitis who were treated in the hospital were selected between June 2019 and June 2021, and they were divided into the poor prognosis group and the good prognosis group according to the clinical prognosis at 6 months of follow-up. Balthazar CT, contrast-enhanced CT necrosis volume, and attenuation value were compared between the 2 groups. Multivariate logistic regress

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Putra Gofur, Nanda Rachmad, Aisyah Rachmadani Putri Gofur, Soesilaningtyas Soesilaningtyas, Rizki Nur Rachman Putra Gofur, Mega Kahdina, and Hernalia Martadila Putri. "Surgery Management of Pancreatitis with Complication: A Review Article." Endocrinology and Disorders 6, no. 1 (2022): 01–03. http://dx.doi.org/10.31579/2640-1045/111.

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Introduction: Acute pancreatitis is an inflammatory disease of the pancreas with clinical manifestations that vary from mild to severe manifestations to death. The incidence of pancreatitis varies in various countries in the world and depends on the cause such as alcohol, gallstones, and metabolic factors. The clinical picture and the main symptom in patients with acute pancreatitis is abdominal pain. Abdominal pain varies from mild to severe and excruciating. Abdominal pain that is felt is constant and dull, and is usually felt in the epigastrium and periumbilicus and often spreads to the bac

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Checketts, Thomas Rees, Ravishankar Madhu, Suhail Sidhu, Evan Daugherty, and Ahmed Al-Chalabi. "Transcolonic Necrosectomy: A Rarely-Used Pancreatic Debridement Strategy." ACG Case Reports Journal 12, no. 3 (2025): e01634. https://doi.org/10.14309/crj.0000000000001634.

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ABSTRACT Necrotizing pancreatitis represents a life-threatening sequela of acute pancreatitis in which rapid necrotization of pancreatic and abdominal tissue leads to inflammation and sometimes infection. Treatment includes debridement of necrotic tissue to prevent inflammation from spreading and antibiotics if infected. Areas of necrosis are accessed through percutaneous drainage, surgical debridement, or upper endoscopy. In this study, we present a case of walled-off necrosis debrided through a fistulous connection to the transverse colon. Transcolonic necrosectomy is a seldom used approach,

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Stefanovic, Dejan, Nebojsa Lekic, Ivan Dimitrijevic, et al. "Mental disorders in patients with acute necrotic pancreatitis." Srpski arhiv za celokupno lekarstvo 135, no. 7-8 (2007): 414–18. http://dx.doi.org/10.2298/sarh0708414s.

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Introduction The prognosis of patients with acute pancreatitis is still uncertain regardless of modern therapeutic procedures. It is even more emphasized if the acute pancreatitis is followed by psychic disorders. Objective The aim of the study was to provide an overview of the incidence of certain psychosomatic disorders in patients with acute pancreatitis and evaluate priority therapeutic procedures. Method In this study, we analyzed 16 patients with psychosomatic disorders followed by the episode of acute pancreatitis among 202 patients that were hospitalized in the period from 1993 until 2

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Türkvatan, Aysel, Ayşe Erden, Mustafa Seçil, and Mehmet A. Türkoğlu. "Fluid Collections Associated with Acute Pancreatitis: A Pictorial Essay." Canadian Association of Radiologists Journal 65, no. 3 (2014): 260–66. http://dx.doi.org/10.1016/j.carj.2013.08.003.

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The terminology and classification scheme of acute pancreatitis proposed at the initial Atlanta Symposium was reviewed, and a new consensus statement was recently proposed. Major changes include subdividing acute fluid collections in the first 4 weeks into “acute peripancreatic fluid collection” and “acute necrotic collection” based on the presence of necrotic debris. Delayed fluid collections have been similarly subdivided into “pseudocyst” and “walled-off necrosis.” Correct use of the new terms that describe these collections is important because they lead to different treatment decisions. T

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Popa, Bogdan, Madalina Ilie, Oana Plotogea, Ionut Olteanu, Claudiu Turculet, and Gabriel Constantinescu. "Ultrasound-guided drainage of walled-off pancreatic necrosis. Case report." Medical Ultrasonography 17, no. 2 (2015): 259. http://dx.doi.org/10.11152/mu.2013.2066.172.woff.

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ERCP (endoscopic retrograde cholangiopancreatography) represents a safe endoscopic procedure and serious complica- tions (perforation, haemorrhage, and acute pancreatitis) are usually uncommon. We present the case of a 38-year-old patient with gallstones in the common biliary duct who developed acute pancreatitis after ERCP. One month later a huge fluid col- lection with necrotic tissue in the right paracolic gutter was found, the fluid being drained by percutaneous drainage under ultrasonographic guiding. The particularity of the case is the post-ERCP pancreatitis, complicated with walled-off

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Khurana, Akash T., Vibhu Chittajallu, Steven Reed, Christopher Sutter, and Brooke Glessing. "Lumbar Artery Pseudoaneurysms Presenting as a Novel Complication of Severe, Necrotizing Pancreatitis." ACG Case Reports Journal 10, no. 8 (2023): e01129. http://dx.doi.org/10.14309/crj.0000000000001129.

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ABSTRACT Splanchnic artery pseudoaneurysms are a known complication of necrotizing pancreatitis. Lumbar artery pseudoaneurysms are rare and usually associated with trauma, renal biopsy, or spinal procedures. We present a rare case of lumbar artery pseudoaneurysms as a complication of necrotizing pancreatitis. A 55-year-old man initially presented with necrotizing biliary pancreatitis complicated by peripancreatic necrotic fluid collections and walled-off necrosis requiring multiple endoscopic ultrasound-guided necrosectomies. Inferoposterior extension of collections to the retroperitoneum caus

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van der Wiel, S. E., A. May, J. W. Poley, et al. "Preliminary report on the safety and utility of a novel automated mechanical endoscopic tissue resection tool for endoscopic necrosectomy: a case series." Endoscopy International Open 08, no. 03 (2020): E274—E280. http://dx.doi.org/10.1055/a-1079-5015.

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Abstract Background and study aims Endoscopic drainage of walled-off necrosis and subsequent endoscopic necrosectomy has been shown to be an effective step-up management strategy in patients with acute necrotizing pancreatitis. One of the limitations of this endoscopic approach however, is the lack of dedicated and effective instruments to remove necrotic tissue. We aimed to evaluate the technical feasibility, safety, and clinical outcome of the EndoRotor, a novel automated mechanical endoscopic tissue resection tool, in patients with necrotizing pancreatitis. Methods Patients with infected ne

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Serban, Cristina, Mihaela Debita, Aurel Nechita, et al. "Hypertriglyceridemia-Rare Etiological Condition of Necrotic-Hemorrhagic Pancreatitis." Revista de Chimie 70, no. 3 (2019): 1030–32. http://dx.doi.org/10.37358/rc.19.3.7056.

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Hypertriglyceridemia is the most common etiology after alcohol consumption and gallstones. The risk of acute pancreatitis occurrence increases at a triglyceride level of over 1000 mg / dL. We hereby present a rare pathological situation of a young patient of 24 years old with acute, necrotic-hemorrhagic pancreatitis induced by hypertriglyceridemia. The emphasis is on the importance of considering the rare etiologies of acute pancreatitis and on the application of more effective treatments.

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Kundra, A., P. Mundra, S. Srichandramohan, C. Sypkes, and N. Calo. "A291 CLINICAL OUTCOMES IN PATIENTS WITH MODERATE TO SEVERE PANCREATITIS AND PANCREATIC COLLECTIONS: A RETROSPECTIVE COHORT STUDY." Journal of the Canadian Association of Gastroenterology 6, Supplement_1 (2023): 99. http://dx.doi.org/10.1093/jcag/gwac036.291.

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Abstract Background Necrotizing pancreatitis occurs in approximately 20% of patients with pancreatitis and is associated with significant morbidity and mortality. Drainage of pancreatic collections is critical when there is associated infection but is also indicated in patients with biliary or gastric outlet obstruction or symptoms. Drainage strategies include percutaneous, endoscopic ultrasound (EUS) guided, and surgical. Data suggests that a step-up approach starting with EUS or percutaneous drainage is associated with lower mortality and morbidity at 3-6 months in comparison to surgery. Lit

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Alvarado-Bahena, Pedro A., Enrique Chavez-Serna, Jonatan Salgado-Vives, et al. "Pancreatic window and open necrosectomy; a surgical alternative for walled-off pancreatic necrosis in a second level hospital in Mexico." International Journal of Research in Medical Sciences 8, no. 11 (2020): 4158. http://dx.doi.org/10.18203/2320-6012.ijrms20204446.

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Walled-off pancreatic necrosis is defined as a necrotic collection with a defined wall, which generally occurs in 15% of patients in the fourth week after acute pancreatitis. Actually, open surgery is reserved for selected cases, with minimally invasive treatments such as image-assisted percutaneous drainage or endoscopic ultrasound being the procedures of choice. However, in developing countries the open approach continues to be an effective therapeutic alternative. We present the case of a 47-year-old male patient with no significant history who developed severe acute pancreatitis secondary

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Siby, Jayas, Preetha S, and Sindhu R.S. "Proportion of Pancreatic Necrosis among Patients with Acute Pancreatitis and Association between High-Density Lipoprotein (HDL Cholesterol) and Pancreatic Necrosis – A Prospective Observational Study from Kerala, South India." Journal of Evidence Based Medicine and Healthcare 8, no. 20 (2021): 1489–94. http://dx.doi.org/10.18410/jebmh/2021/282.

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BACKGROUND Acute pancreatitis is a very common disease and severe acute pancreatitis is life threatening and needs early identification. Current severity predicting indices in acute pancreatitis are cumbersome. There have been previous reports of low HDL cholesterol in life threatening acute pancreatitis. Previous studies in this regard were done in a single ethnicity population and needed to be validated in other ethnic groups. We wanted to estimate the proportion of pancreatic necrosis among the patients with acute pancreatitis attending Government Medical College, Thiruvananthapuram. We als

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Lytvyn, O. I., I. S. Tereshkevych, A. G. Deinychenko, et al. "Endoscopic and miniinvasive treatment of necrotic pancreatitis." Ukrainian Journal of Clinical Surgery 90, no. 1 (2023): 67–70. http://dx.doi.org/10.26779/2786-832x.2023.1.67.

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Simeonov, Simeon. "TREATMENT OF SEVERE FORM OF “ACUTE PANCREATITIS”." KNOWLEDGE INTERNATIONAL JOURNAL 31, no. 6 (2019): 2023–28. http://dx.doi.org/10.35120/kij31062023s.

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The clinical approach with acute pancreatitis is controversial. Generally, it is accepted concervative treatment of the acute edematosic pancreatitis and operative treatment of the infected pancreatic necrosis. Within this frame is the field of discussion of different therapeutic approcaches. The acute pancreatitis manifests itself with differentl clinical models from light to severe necrotizing disorder with local and systematic complications. The acute pancreatitis involves systematic immuno- inflammatory response to a local process of self-digestion of the pancreatic gland with various invo

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Pokydko, M. I., T. V. Formanchuk, О. V. Vozniuk, O. V. Honcharenko, A. N. Formanchuk, and O. O. Kirichenko. "Percutaneous minimally invasive methods as a step-up intervention in the complex treatment of fluid accumulations in patients with acute pancreatitis." Reports of Vinnytsia National Medical University 25, no. 1 (2021): 32–39. http://dx.doi.org/10.31393/reports-vnmedical-2021-25(1)-06.

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Annotation. Analysis of recent publications on the definition of fluid accumulation in patients with complicated forms of acute pancreatitis and the possibility of their correction by minimally invasive methods according to the clinic, analysis of a clinical case that demonstrates the possibility of staged percutaneous drainage of fluid accumulation in acute infected necrotic pancreatic. The results of treatment of 622 patients who were hospitalized in the surgical department of MNPE City Clinical Hospital of Ambulance and Emergency Care during 2020 were analyzed. The mean age of patients was

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Krokos, Nikolaos, Anestis Karakatsanis, Paulos Sarafianos, and Stavroula Koukou. "Wernicke's Encephalopathy Complicating Acute Necrotic Pancreatitis." American Surgeon 78, no. 9 (2012): 390–92. http://dx.doi.org/10.1177/000313481207800904.

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Desyateryk, V. I., V. V. Shapovalyuk, and M. S. Кrykun. "Laboratory-immunological diagnostics of complicated flow of necrotic pancreatitis." Modern medical technologies 41 part 2, no. 2 (2019): 62–65. http://dx.doi.org/10.34287/mmt.2(41).2019.28.

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Purpose of the study. Justify the additional laboratory and immunological possibilities of diagnosing the complications of necrotic pancreatitis. Materials and methods. A retrospective analysis of the case history of patients with edematous and necrotic pancreatitis has been carried out, and 1060 case histories have been analyzed. By special methods, 30 patients with acute pancreatitis were examined. Laboratory and immunological studies were carried out three times: 1 research – upon admission; 2 studies – on the 7th day; 3 studies – 14 days. Results. The conducted clinical researches and anal

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Rana, Surinder Singh, and Rajesh Gupta. "Nomenclature of Pancreatic Fluid Collections following Acute Pancreatitis: Need to Further Revise the Atlanta Classification System!" Journal of Digestive Endoscopy 13, no. 04 (2022): 257–59. http://dx.doi.org/10.1055/s-0042-1759512.

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AbstractA better understanding of the disease pathophysiology, improved imaging modalities, and the development of minimally invasive interventions led to the revision of the Atlanta classification and new terminologies for the pancreatic fluid collections (PFCs) occurring in acute pancreatitis. Peripancreatic necrosis (PPN) or extra-pancreatic necrosis (EPN) has been reported as a distinct morphological entity with a better outcome than combined pancreatic and peripancreatic necrosis as well as pancreatic parenchymal necrosis alone and slightly worse than acute interstitial pancreatitis. In t

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Šileikis, Audrius, Virgilijus Beiša, Gintaras Simutis, Albinas Tamošiūnas, and Kęstutis Strupas. "Three-port retroperitoneoscopic necrosectomy in management of acute necrotic pancreatitis." Medicina 46, no. 3 (2010): 176. http://dx.doi.org/10.3390/medicina46030024.

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Introduction. Because of major morbidity and mortality after open surgery in acute necrotic pancreatitis, an interest in minimally invasive necrosectomy approaches has increased. We report the results of a recently developed minimally invasive technique that we adopted in 2007. Material and methods. This article contains a retrospective analysis of cases and description of original retroperitoneoscopic necrosectomy technique. There were eight patients aged 25–58 years, who underwent retroperitoneoscopic pancreatic necrosectomy in the Center of Abdominal Surgery, Vilnius University Hospital San

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DJURAEVA, NIGORA M., RAVSHAN A. IBADOV, SARDOR Kh IBRAGIMOV, KHANUM V. ABDUKHALIMOVA, and GULNARA K. AKILOVA. "PERFUSION COMPUTED TOMOGRAPHY: NEW HORIZONS IN DIAGNOSING DISEASES OF THE PANCREAS." Bulletin of Contemporary Clinical Medicine 17, no. 4 (2024): 108–16. http://dx.doi.org/10.20969/vskm.2024.17(4).108-116.

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Abstract. Introduction. According to the World Health Organization, the most common disease of the pancreas is acute pancreatitis, which can lead to the development of pancreatic necrosis. In this regard, early diagnosis and assessment of the pancreatic necrosis risk development are of paramount importance for choosing adequate treatment approaches and improving outcomes for patients. Radiological research methods have become the “gold” standard in clinical practice for the primary diagnosis of pancreatic diseases. Contrast-enhanced computed tomography has traditionally been used to visualize

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Jagielski, Mateusz, Marian Smoczyński, and Krystian Adrych. "Endoscopic treatment of extensive walled-off pancreatic necrosis with the use of single transluminal gateway transcystic multiple drainage (SGTMD)." Polish Journal of Surgery 90, no. 2 (2018): 54–59. http://dx.doi.org/10.5604/01.3001.0011.7494.

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The paper presents a description of the course of severe acute necrotizing pancreatitis as well as endoscopic treatment of an extensive infected walled-off pancreatic necrosis (WOPN), being the consequence of acute pancreatitis. The basic strategy of interventional treatment was to extend access to necrotic areas with use of single transluminal gateway transcystic multiple drainage (SGTMD). Endoscopic transmural access (transgastric) was applied. Endoscopic necrosectomy under fluoroscopic guidance was repeated nine times during active transluminal drainage. Endotherapy with use of SGTMD, as we

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Velickovic, Dejan, Katarina Stosic, Aleksandra Djuric Stefanovic, et al. "The Importance of Early Detection and Minimally Invasive Treatment of Pseudoaneurysms Due to Chronic Pancreatitis: Case Report." Medicina 60, no. 5 (2024): 714. http://dx.doi.org/10.3390/medicina60050714.

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The occurrence of the pseudoaneurysm of visceral arteries in the field of chronic pancreatitis is a very rare complication that represents a life-threatening condition. The higher frequency of this complication is in the necrotic form of pancreatic inflammation, especially in patients with formed peripancreatic necrotic collections. The degradation of the arterial wall leads to bleeding and transforms these necrotic collections into a pseudoaneurysm. Urgent endovascular angioembolization is the first choice in the therapeutic approach as a valid minimally invasive solution with very satisfacto

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Shintaku, Masayuki, Yasushi Umehara, Keiko Iwaisako, Masao Tahara, and Yasushi Adachi. "Herpes Simplex Pancreatitis." Archives of Pathology & Laboratory Medicine 127, no. 2 (2003): 231–34. http://dx.doi.org/10.5858/2003-127-231-hs.

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Abstract Lesions of the pancreas induced by viral infection have drawn relatively little attention because of their low incidence, and the histopathologic features of viral pancreatitis have not been fully elucidated. We report the autopsy findings of 2 patients, a 59-year-old woman with allergic granulomatous angiitis and a 73-year-old man with invasive pulmonary aspergillosis who had a disseminated visceral herpes simplex virus (HSV) infection. In both cases, the liver was the organ most severely affected by the viral infection. The pancreas showed multiple small foci of hemorrhagic necrosis

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Choi, Young Hoon, Tae Hyeon Kim, Hyung-Il Seo, and Sung Yong Han. "Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Acute Pancreatitis: Treatment of Local Complication and Necrotizing Pancreatitis." Korean Journal of Pancreas and Biliary Tract 27, no. 1 (2022): 32–39. http://dx.doi.org/10.15279/kpba.2022.27.1.32.

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In severe acute pancreatitis, accompanied by local complications such as acute peripancreatic fluid collection, pancreatic pseudocyst, acute necrotic collection and walled-off necrosis, the mortality rate is as high as 12-25%. In many cases, interventional procedure or surgical treatment are required at an appropriate time. Conservative treatment is considered for acute peripancreatic fluid collection. Endoscopic drainage could be considered preferentially for the treatment of pancreatic pseudocysts with clinical symptoms or complications. In the case of necrotizing pancreatitis, conservative

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Kabanenko, T. P., та A. A. Kinzerskiy. "Аpplication of shear wave elastography for differential diagnosis of clinical and morphological types of acute pancreatitis". Diagnostic radiology and radiotherapy 12, № 3 (2021): 72–79. http://dx.doi.org/10.22328/2079-5343-2021-12-3-72-79.

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Introduction. The incidence of acute pancreatitis increases every year. Early diagnosis of the necrotic type of acute pancreatitis is still relevant.Purpose. To reveal the informativeness of Elasticity Imaging Techniques for differential diagnosis of clinical and morphological types of acute pancreatitis.Material and methods. Shear wave sonoelastometry (ElastPQ-pSWE) was performed for 19 patients with acute edematous pancreatitis, and 13 patients with acute necrotizing pancreatitis. The control group consisted of 30 healthy volunteers.Results. In comparison with the control group, the stiffnes

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Rotar, O. V., I. V. Khomiak, V. I. Rotar, A. I. Khomiak, and S. I. Railianu. "C-reactive protein and procalcitonin - laboratory markers of degrees of severity and complications of an acute necrotic pancreatitis." Klinicheskaia khirurgiia 87, no. 3-4 (2020): 14–17. http://dx.doi.org/10.26779/2522-1396.2020.3-4.14.

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Objective. To conduct comparative estimation of efficacy of C-reactive protein and procalcitonin as laboratory markers for stratification of the patients severity state suffering an acute necrotic pancreatitis. Materials and methods. Prospective cohort investigation, including 151 patients with an acute necrotic pancreatitis, was conducted. Clinical, laboratory and bacteriological investigations were accomplished. The levels of C-reactive protein and procalcitonin were determined in the blood plasm. Results. The necrotic accumulations infectioning was diagnosed in 89 (58.9%) patien

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Jardinet, Thomas, Len Verbeke, Lawrence Bonne, and Geert Maleux. "Therapeutic Intranodal Lymphangiography for Refractory Chylous Ascites Complicating Acute Necrotic Pancreatitis." Journal of Gastrointestinal and Liver Diseases 27, no. 2 (2018): 195–97. http://dx.doi.org/10.15403/jgld.2014.1121.272.the.

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Chylous ascites is a rare complication of acute pancreatitis. However, the incidence of intraperitoneal chyle leakage related to severe pancreatitis may be much higher. This is probably the result of direct damage to the cisterna chyli or its tributaries by pancreatic enzymes. In this case, conservative treatment failed to resolve the chyle leak. For the first time, to our knowledge, ultrasound guided therapeutic intranodal lymphangiography was shown to be a successful, minimally invasive treatment option in chylous ascites complicating acute necrotic pancreatitis.

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Koshevsky, P., S. Alekseyev, O. Popkov, V. Ginyuk, and N. Bovtiuk. "PANCREATOGENIC MORPHOSTRUCTURAL CHANGES IN THE HEART, LUNGS AND OTHER TARGET ORGANS IN DESTRUCTIVE PANCREATITIS." Emergency Cardiology and Cardiovascular Risks 5, no. 1 (2021): 1217–22. http://dx.doi.org/10.51922/2616-633x.2021.5.2.1217.

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Introduction. Pathomorphological changes in destructive pancreatitis develop both in the pancreas and in various organs and tissues, it determining the clinical course and outcome of the disease. Most often in destructive pancreatitis, the cardiopulmonary system is affected, as well as the liver, kidneys, and brain. Damage to these target organs is one of the main elements of pathogenesis and thanatogenesis in destructive pancreatitis and is of interest not only for surgeons, but also for other clinical specialists, including cardiologists. Aim. To conduct a retrospective analysis of the most

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Andriushchenko, V. P., M. M. Tutka, and V. V. Kunovskyi. "Glycemic disorders in acute pancreatitis: significance of microstructural changes of pancreatic parenchyma." Ukrainian Journal of Clinical Surgery 90, no. 1 (2023): 7–12. http://dx.doi.org/10.26779/2786-832x.2023.1.07.

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Objective. To study the character and peculiarities of pathohistological changes of pancreatic tissues on the autopsy material, including its endocrine apparatus in acute necrotic pancreatitis and to determine connection between established changes and occurrence of glycemia. Materials and methods. Pathohistological investigation of 48 preparation of pancreatic gland was performed on the autopsy material in 11 dead patients with an acute necrotic pancreatitis, using method of the light microscopy. Results. There was established the presence of microstructural disorder of pancreatic

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Zhang, Wei, Yun Zhao, Yue Zeng, et al. "Hyperlipidemic Versus Normal-Lipid Acute Necrotic Pancreatitis." Pancreas 41, no. 2 (2012): 317–22. http://dx.doi.org/10.1097/mpa.0b013e31822981fb.

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Rai, Santosh, V. Vijayasekaran, Aishwarya N. Gadwal, and Abhijith Acharya. "Dual pigtail intervention in acute necrotising pancreatitis." IP Journal of Surgery and Allied Sciences 3, no. 2 (2021): 51–54. http://dx.doi.org/10.18231/j.jsas.2021.013.

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Acute pancreatitis has multiple aetiologies. Acute pancreatitis is divided into interstitial oedematous pancreatitis or necrotizing pancreatitis based on morphology. According to the revised Atlanta classification necrotizing pancreatitis is further subdivided into acute necrotic collection if the disease develops within 4 weeks or walled-off necrosis if the disease develops after 4 weeks.We report a case of 40years male, with acute pancreatitis for 1 month, presenting with decreased appetite, loss of weight, and tremors of extremities. CT featured active necrotizing pancreatitis with perip

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Kaprin, I. A., Z. E. Eldarova, and V. P. Glabai. "Surgical treatment and complications of operations in acute pancreatitis severe." Research'n Practical Medicine Journal 5, no. 4 (2018): 72–81. http://dx.doi.org/10.17709/2409-2231-2018-5-4-7.

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In this reviewing article there are discussed such topics as modern classification of acute pancreatitis, indications for surgical treatment of severe and, first of all, infected pancreatic necrosis, modern tendencies in this problem and controversial issues of it. The analysis of two different methods of surgeries («closed» and «open») for drainage of retroperitoneal space depending on the scale of necrotic lesion has been carried out. The perspective use of the natural transluminal endoscopic surgery (ENOTES) in the treatment of acute pancreatitis, complicated by abdominal compartment syndro

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Rusin, V. I., S. S. Filip, A. A. Boldizhar, K. E. Rumyantsev та O. Yu Kucenko. "Flowing and treatment features of infected unlimited pancreaneсrosis". Modern medical technologies 41 part 1, № 2 (2019): 61–64. http://dx.doi.org/10.34287/mmt.2(41).2019.12.

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The results of flowing and treatment of infected unlimited retroperytoneoсrosis in 67 patients with acute pancreatitis are presented in the work. Based on the data a tactical algorithm of surgical treatment methods selection in patients with acute necrotic parapankreatitis was formulated. Keywords: acute pancreatitis, infected unlimited pancreanecrosis, surgical treatment.

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N. N., Veligotsky, Arutyunov S. E., Klymenko M. V., and Aleksanyan K, A. "PYO-SEPTIC COMPLICATIONS OF SEVERE NECROTIZING FORMS OF ACUTE PANCREATITIS." Modern medical technologies 42, no. 3 (2019): 37–40. http://dx.doi.org/10.34287/mmt.3(42).2019.9.

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Purpose of the study. Develop an algorithm for the diagnosis and treatment of purulent-septic complications of severe necrotizing forms of acute pancreatitis. Materials and methods. 5400 patients with acute pancreatitis were treated. To determine the infected pancreatic necrosis, the blood calcium level, and blood procalcitonin were studied, and a fine-needle biopsy was performed. Surgical interventions were performed in 874 (16,2%) patients who underwent 1057 surgical interventions. Results. 782 minimally invasive interventions were performed in 645 patients: video laparoscopic – 608 (77,7%),

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Milastnaia, A. G., and V. B. Dukhnitsky. "Clinical and pathogenetic changes in dogs with chronic pancreatitis." Scientific Messenger of LNU of Veterinary Medicine and Biotechnologies 21, no. 94 (2019): 174–78. http://dx.doi.org/10.32718/nvlvet9432.

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The article presents the results of chronic canine pancreatitis retrospective research based on comparison of clinical, biochemical and histopathological data. To compare the symptoms and the clinical course of chronic pancreatitis, the dogs’ with clinically confirmed diagnosis history of the disease was used. The data were obtained from the private hospital of veterinary medicine (Kyiv-city) database of pathologoanatomical records, conducted at the, regarding dogs with histological confirmation chronic pancreatitis that was determined based on pancreatic tissue irreversible histological chang

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Novosel, Dragan. "Acute Pancreatitis Mimicking Acute STEMI Infarction." Open Access Journal of Cardiology 7, no. 1 (2023): 1–4. http://dx.doi.org/10.23880/oajc-16000183.

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A 54-year-old male with the history of pancreatitis, arterial hypertension and diabetes was presented to cardiologist with epigastrial pain, inferior STEMI and hypotension. Initial laboratory findings were delayed because of hemolytic serum that caused administration of invasive procedures for ruling out myocardial infarction. The condition causing hypotension was necrotic pancreatitis. This case report highlights the importance of thinking of other not very likely diagnoses in patients with STEMI infarction and the importance of obtaining laboratory findings in time.

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New-Aaron, Moses, Murali Ganesan, Raghubendra Singh Dagur, Kusum K. Kharbanda, Larisa Y. Poluektova, and Natalia A. Osna. "Pancreatogenic Diabetes: Triggering Effects of Alcohol and HIV." Biology 10, no. 2 (2021): 108. http://dx.doi.org/10.3390/biology10020108.

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Multiorgan failure may not be completely resolved among people living with HIV despite HAART use. Although the chances of organ dysfunction may be relatively low, alcohol may potentiate HIV-induced toxic effects in the organs of alcohol-abusing, HIV-infected individuals. The pancreas is one of the most implicated organs, which is manifested as diabetes mellitus or pancreatic cancer. Both alcohol and HIV may trigger pancreatitis, but the combined effects have not been explored. The aim of this review is to explore the literature for understanding the mechanisms of HIV and alcohol-induced pancre

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Tsoi, O., K. Mamakeev, S. Kozhakhmetov, K. Rustemova, Zh Telmanova, and Zh Zhalgasbaev. "Ulinastatitis in Complex Treatment of Acute Pancreatitis (Literature Review)." Bulletin of Science and Practice 10, no. 5 (2024): 313–27. http://dx.doi.org/10.33619/2414-2948/102/40.

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The purpose of this literature review is to assess the completeness and significance of recent research on the treatment of a destructive form of pancreatitis for public health and scientific achievements, highlighting areas that require further detailed study. A review of foreign literature on the use of the protease inhibitor ulinastatin in the complex conservative treatment and prevention of acute pancreatitis is made. The clinical and laboratory effectiveness of the drug in preventing the transition of uninfected pancreatic necrosis into a complicated purulent-necrotic form with the develo

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Seppänen, H., and P. Puolakkainen. "Classification, Severity Assessment, and Prevention of Recurrences in Acute Pancreatitis." Scandinavian Journal of Surgery 109, no. 1 (2020): 53–58. http://dx.doi.org/10.1177/1457496920910007.

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Background: Acute pancreatitis is a common disease, the incidence of which is 75–100/100,000/year in Finland. The worldwide incidence of acute pancreatitis is increasing. The identified mildcases usually show rapid recovery with conservative treatment allowing early discharge. Severe cases need early intensive care to reduce the risk of serious complications such as multi-organ failure. The revised Atlanta classification of acute pancreatitis was introduced in 2012–2013. A recurrent acute pancreatitis is defined as two or more well-documented separate attacks of acute pancreatitis with complet

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Goldovskiy, B. M., V. P. Medvedev, I. V. Filimonova, et al. "ANTIBACTERIAL THERAPY IN INFECTED FORMS OF NECROTIC PANCREATITIS." Modern medical technology, no. 1(52) (March 20, 2022): 9–13. http://dx.doi.org/10.34287/mmt.1(52).2022.2.

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Summary: Evaluation of the effectiveness of antibacterial therapy at different stages of necrotic pancreatitis (NP) is the most important area of scientific and practical research on the course of necrotic pancreatitis and the development of sepsis. The work is based on the results of a comprehensive examination and treatment of 54 patients with necrotic pancreatitis in the intensive care unit of city Hospital № 3, Zaporizhia in 2017-2019 pp. Objective: Optimize the use of antibacterial therapy in the complex treatment of infected forms of NP depending on the microbial spectrum of infe

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V. V., Boyko, Lichman V. N., Shevchenko A. N., Merkulov A. A., Polikov H. O., and Myroshnychenko D. O. "INFLUENCE OF SYSTEMIC INFLAMMATORY REACTIONS ON THE COURSE OF PANCREOECROSIS." Modern medical technologies 42, no. 3 (2019): 64–68. http://dx.doi.org/10.34287/mmt.3(42).2019.6.

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Introduction. Acute pancreatitis is a common pathology in abdominal surgery, so the prevalence reaches 238 cases per million populations. It should be noted that pancreatic necrosis develops in 25% of patients with acute pancreatitis, and mortality can reach up to 20%. Purpose of the study. The investigate effect on the pancreatic necrosis course of the systemic inflammatory response. Materials and methods. We examined 96 patients aged from 19 to 78 years. During the course of the disease, a systemic inflammatory response developed in 79% of patients with acute necrotizing pancreatitis. Result

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Zhang, Hong-Ying, and Chen-Cong He. "Early endoscopic management of an infected acute necrotic collection misdiagnosed as a pancreatic pseudocyst: A case report." World Journal of Gastrointestinal Surgery 16, no. 2 (2024): 609–15. http://dx.doi.org/10.4240/wjgs.v16.i2.609.

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BACKGROUND Infected acute necrotic collection (ANC) is a fatal complication of acute pancreatitis with substantial morbidity and mortality. Drainage plays an exceedingly important role as the first step in invasive intervention for infected necrosis; however, there is great controversy about the optimal drainage time, and better treatment should be explored. CASE SUMMARY We report the case of a 43-year-old man who was admitted to the hospital with severe intake reduction due to early satiety 2 wk after treatment for acute pancreatitis; conservative treatment was ineffective, and a pancreatic p

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Wu, Hongsheng, Keqiang Ma, Biling Liao, Tengfei Ji, Shengmin Zhang, and Tiansheng Cao. "Comparative Analysis of Early Clinical Features and Complications of Different Types of Acute Pancreatitis." Oxidative Medicine and Cellular Longevity 2022 (June 25, 2022): 1–9. http://dx.doi.org/10.1155/2022/3771610.

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Background. Acute pancreatitis (AP) is a common surgical acute abdomen. Different kinds of pancreatitis may have different pathophysiological characteristics each other. The objective of this research was to investigate the early clinical features and complications of different types of acute pancreatitis. Methods. 787 AP patients admitted in the Huadu District People’s Hospital of Guangzhou during January 2009 and December 2019 were analyzed retrospectively. Among 787 AP patients, 520 (66.1%) were biliary AP (group I), 69 (8.7%) were alcoholic AP (group II), and 198 (25.2%) were hypertriglyce

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Dyrda, O. O., N. V. Puzyr, Y. M. Susak, H. H. Roschyn, and I. I. Lemko. "Hybrid transluminal drainage of a limited necrotic accumulation under simultaneous ultrasonographic and endoscopic control in a patient with infected acute necrotizing pancreatitis." Ukrainian Journal of Clinical Surgery 92, no. 2 (2025): 65–68. https://doi.org/10.26779/2786-832x.2025.2.65.

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Sauter, Edward R., Clifford H. Van Meter, John L. Hussey, and Daniel H. Hayes. "Fulminant necrotizing pancreatitis after cardiac transplantation." Clinical Transplantation 4, no. 4 (1990): 198–201. http://dx.doi.org/10.1111/j.1399-0012.1990.tb00010.x.

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General surgical complications after cardiac transplant surgery occur in up to 28% of cases. Acute pancreatitis has been reported as the most common general surgical complication. Postoperative necrotizing pancreatitis carries an 85% mortality rate (18 collected series). We discuss the etiology, preoperative screening and management of this disease in a patient who developed pancreatitis after cardiac transplantation. Several etiologic factors have been proposed to explain pancreatitis: low perfusion, splanchnic vasoconstriction secondary to vasopressors, mesenteric ischemia due to atheroscler

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