scholarly journals DIAGNOSIS AND MINIMALLY INVASIVE TREATMENT OF COMPLICATIONS OF ACUTE AND CHRONIC PANCREATITIS WITH THE USE OF MEDICAL IMAGING (USG, CT AND ENDOSONOGRAPHY): LITERATURE REVIEW

Author(s):  
Чижова ◽  
Elena Chizhova ◽  
Тюрюмина ◽  
Elena Tyuryumina ◽  
Гумеров ◽  
...  

The article describes the modern literature data on the incidence of acute, chronic pancreatitis and its complications. The current classification of complications of acute and chronic pancreatitis. The possibilities of digital diagnostic methods (ultrasonography, computer tomography, endosonography) this pathology. Considered the advantages and disadvantages of these methods of diagnosis. Describes the types of minimally invasive interventions under the con-trol of the means of medical imaging, the indications and contraindications to them, deals with the complications. The selection criteria method of digital diagnosis of complications of acute and chronic pancreatitis and type minimally invasive treatment

Author(s):  
N. Yu. Kokhanenko ◽  
A. V. Glebova ◽  
O. G. Vavilova ◽  
A. A. Kashintsev ◽  
S. A. Kaliuzhnyi ◽  
...  

A clinical case of successful surgical treatment of a patient with chronic pancreatitis, complicated by suppuration of a postnecrotic cyst and the formation of a cysto-gastric fistula. As a result of the conservative and minimally invasive treatment, the pseudocyst was drained, and the cystogastric fistula was closed. The staged treatment was completed by resection of the head of the pancreas with the formation of an anastomosis.


Pancreas ◽  
2010 ◽  
Vol 39 (5) ◽  
pp. 694
Author(s):  
Mitsuharu Fukasawa ◽  
Hiroyuki Maguchi ◽  
Kuniyuki Takahashi ◽  
Akio Katanuma ◽  
Manabu Osanai ◽  
...  

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 598 ◽  
Author(s):  
Matas Jakubauskas ◽  
Raminta Luksaite ◽  
Audrius Sileikis ◽  
Kestutis Strupas ◽  
Tomas Poskus

Background: Gallstone or biliary ileus is a late complication of gallstone disease. It accounts for 1%–4% of all bowel obstructions and is more common in elderly patients. The preferred treatment option is to mechanically remove the impacted stones. It is done surgically using open or laparoscopic approach and rarely, when stones are impacted in the colon, endoscopically. In this paper we present five consecutive cases of gallstone ileus and describe possible diagnostic and minimally invasive treatment options. Case presentation: During a five-month period a total of five patients were treated for gallstone ileus. All patients were female and from 48 to 87 years of age. Symptoms were not specific and common for all small bowel obstructions. Upon admission the patients also had unspecific laboratory findings—neutrophilic leukocytosis and various C-reactive protein concentrations, ranging from 8 to 347 mg/L. According to the hospital protocol, all patients initially underwent an abdominal ultrasound, which was inconclusive, and therefore every patient additionally had a CT scan with intravenous contrast. After these two diagnostic modalities one patient still did not have the definitive gallstone ileus diagnosis, as the ectopic stone was not visible. Four patients in our case series were treated using minimally invasive methods: in one case the stone was removed endoscopically, and laparoscopically in the other three. Treatment outcomes were good in four cases as the patients fully recovered, however one patient suffered a massive cerebral infarction after the operation and passed away. Conclusions: Gallstone ileus is a rare and difficult-to-diagnose condition. Management of these patients in every case should be individualized, as there are many options, each with their own advantages and disadvantages. We show that minimally invasive treatment such as colonoscopy or laparoscopy is possible in these cases.


Suizo ◽  
2009 ◽  
Vol 24 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Mitsuharu FUKASAWA ◽  
Hiroyuki MAGUCHI ◽  
Kuniyuki TAKAHASHI ◽  
Akio KATANUMA ◽  
Manabu OSANAI ◽  
...  

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.


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