The development dynamics and spreading peculiarities of the pathological process in the retroperitonael space in acute pancreatitis

Authors

  • V. V. Ganzhy
  • I. P. Kolesnyk
  • N. A. Yareshko
  • A. I. Marusiy

DOI:

https://doi.org/10.14739/2310-1237.2015.2.48620

Keywords:

Pancreatitis, Retroperitoneal Space, Complications, Acute Necrotizing Pancreatitis

Abstract

Despite rapid development of medicine, acute pancreatitis (AP) is still a problem.

Aim. To evaluate pathological changes of retroperitoneal space (RS), the results of ultrasound research, computed tomography and laparoscopy were studied in 62 patients with severe form of AP.

Methods and results. Our own improved division of retroperitoneal space was used during work. It was based on already existing classification and it’s simple and can be used in everyday practice.

It was revealed that infiltrative changes of RS develop more often in patients with edematous form of disease. In patients with necrotic form infiltrative changes as well as liquid ones can develop in the RS. The more extensive is pancreas necrosis, the higher is the probability that greater number of anatomic areas will be involved into the pathological process. It was noticed that complications appear more often in patients with liquid changes in the RS as well as they have higher percentage of mortality.

Conclusion. Thereby, dynamic observation of area and depth of pathological process spreading, its condition allows deciding on correct treatment strategy. 

References

Zolotko, Yu. L. (1967) Atlas topograficheskoj anatomii cheloveka. Chast' 2. Grud', zhivot, taz [Atlas of topographical anatomy. Part 2. Chest, abdomen, pelvis]. Moscow: Medicina [in Russian].

Lubockij, D. N. (1953) Osnovy topograficheskoj anatomii [Bases of topographical anatomy]. Moscow: Medicinskaya literatura [in Russian].

Nakaz Ministerstva okhorony zdorovia Ukrainy Pro zatverdzhennia standartiv ta klinichnykh protokoliv nadannia medychnoi dopomohy zi spetsialnosti «Khirurhiia» 2 kvitnia 2010 roku №297 [The Order of Ministry of Health in Ukraine About confirmation of standards and clinical reports, including delivery health care by speciality «Surgery» from April 2 2010, №297]. Retrieved from http://www.moz.gov.ua/ua/main/docs/?docID=20210. [in Ukrainian].

Kondratenko, P. G., Vasil`ev, A. A., Kon`cova, M. V. (2008) Ostryj pankreatit [Acute pancreatitis] Doneck. [in Ukrainian].

Nedashkovskij, E. V. (Ed) (2009) Ostryj pankreatit: rukovodstvo dlya vrachej [Acute pancreatitis: Textbook for doctors/in edition prof] Moscow: GOE`TAR. [in Russian].

Krivoruchko, I. A., Krasnoselsky, N. V., Sivogelezov, A. V., et al. (2011) Pozvolyaet li peresmotr klassifikacii Atlanty (1992) izmenyat' resheniya v otnoshenii diagnosticheskoj i lechebnoj taktiki pri ostrom pankreatite? [Does the review of Atlanta’s classification (1992) allow to change decisions about diagnostic and treatment strategy in patients with acute pancreatitis?] Ukrainskij zhurnal khirurgii, 2(11), 25–31. [in Ukrainian].

Prokop, M., & Galanski, M. (2009) Ukrainskij zhurnal khirurgii [Spiral and multi-layer computed tomography]. Moscow: MEDPress-inaorm. [in Russian].

Ryazanov, D. Y. (2008) Hostryi pankreatyt [Acute pancreatitis]. Zaporizhya. [in Ukrainian].

Shugaev, A. I., Kajsarov, V. R., Mosoyan, S. S. (2005) [Topographic and anatomic peculiarities of «parapancreatic» fat spaces and the ways of spreading of pathological process in patients with necrotic form of acute pancreatitis. Vestnik hirurgii, 164(5), 26–29. [in Russian].

Downloads

How to Cite

1.
Ganzhy VV, Kolesnyk IP, Yareshko NA, Marusiy AI. The development dynamics and spreading peculiarities of the pathological process in the retroperitonael space in acute pancreatitis. Pathologia [Internet]. 2015Oct.8 [cited 2024Nov.23];(2). Available from: http://pat.zsmu.edu.ua/article/view/48620

Issue

No. 2 (2015)

Section

Original research

License

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Лицензия Creative Commons
    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).