scholarly journals Statistical characteristics of number and structure of hospitalizations and treatment of patients with acute and chronic pancreatitis in the surgical departments in Kemerovo region

2019 ◽  
Vol 43 (2) ◽  
pp. 47-51
Author(s):  
V. I. Podoluzhniy ◽  
V. A. Pelts ◽  
I. A. Radionov

Aim. Determine the number of hospitalizations and treatment of patients with acute (AP) and primary chronic pancreatitis (PCP) in surgical departments No 1 and No 2 of the Regional Clinical Hospital of Emergency Medical Care n. a. M. A. Podgorbunsky (Kemerovo) and surgical departments in Kemerovo region from 1993 to 2017. Methods. A comparative analysis of the number and structure of treatment of patients with AP over two decades was carried out. Number of PCP surgeries in the Regional Hepatology Center after 1995 was comparatively analyzed. Results. There was an increase in number of average annual hospitalization of patients with acute (primary and secondary) pancreatitis over the past decade by 79.7% (incidence 64.3/100000 and 125.3/100000), as well as increased number of surgeries for PCP. In urgent patients, mild pancreatitis occurred in 76.8%, pancreatic necrosis — in 23.2%. Those who had destructive pancreatitis underwent surgery in 15.1% of cases. Mortality with pancreatic necrosis reaches 7.9%. Over the last decade, compared with the past one, 26.4% more patients were operated on for PCP. Pancreatic resections were performed in 22.5% of cases, draining anastomoses were installed in 65.4% of surgical cases. Conclusion. Over 23 years, the number of hospitalized patients with AP has increased statistically significantly. 3.5% of hospitalized patients were operated on (15.1% with pancreatic necrosis). Mortality upon pancreatic necrosis reached 7.9%. AP is viewed as a predictor of chronic pancreatitis, there is a clear upward trend in the number of surgeries for PCP.

Author(s):  
S. N. Stjazhkina ◽  
I. V. Kotova ◽  
M. F. Zarivchatsky ◽  
T. E. Chernysheva ◽  
A. V. Ledneva ◽  
...  

Aim: To identify a connection between acute and chronic pancreatitis and primary hyperparathyroidism on the base of clinical cases. To consider the features of the diagnosis and treatment of acute and chronic pancreatitis with primary hyperparathyroidism.Materials and methods: Over the past 10 years, there have been observed 3 cases of pancreatitis with primary hyperparathyroidism. Two patients were diagnosed with chronic pancreatitis, one patient was diagnosed with acute destructive pancreatitis. Patients were undergoing surgery, parathyroidectomy was performed.Results: Primary hyperparathyroidism is rarely associated with the occurrence of acute or chronic pancreatitis, but hypercalcemia plays an important role in the pathogenesis of these diseases. Pancreatitis usually occurs in the late stage of hyperparathyroidism, which explains the low prevalence of this association in developed countries, where primary hyperparathyroidism is diagnosed at an early stage of the disease.Conclusion: These clinical cases of radical surgical treatment of parathyroid adenoma associated with severe concomitant pathology testifies to the effectiveness of the surgical method in some cases. It is necessary to take into account severe concomitant pathology and diagnose and correct it in time.


2020 ◽  
Author(s):  
Jie-hui Tan ◽  
Rong-chang Cao ◽  
Lei Zhou ◽  
Zhi-tao Zhou ◽  
Huo-ji Chen ◽  
...  

2020 ◽  
Author(s):  
Johann Johann And Devika

BACKGROUND Since November 2019, Covid - 19 has spread across the globe costing people their lives and countries their economic stability. The world has become more interconnected over the past few decades owing to globalisation and such pandemics as the Covid -19 are cons of that. This paper attempts to gain deeper understanding into the correlation between globalisation and pandemics. It is a descriptive analysis on how one of the factors that was responsible for the spread of this virus on a global scale is globalisation. OBJECTIVE - To understand the close relationship that globalisation and pandemics share. - To understand the scale of the spread of viruses on a global scale though a comparison between SARS and Covid -19. - To understand the sale of globalisation present during SARS and Covid - 19. METHODS A descriptive qualitative comparative analysis was used throughout this research. RESULTS Globalisation does play a significant role in the spread of pandemics on a global level. CONCLUSIONS - SARS and Covid - 19 were varied in terms of severity and spread. - The scale of globalisation was different during the time of SARS and Covid - 19. - Globalisation can be the reason for the faster spread in Pandemics.


Pancreas ◽  
2018 ◽  
Vol 47 (10) ◽  
pp. 1200-1207 ◽  
Author(s):  
Christopher E. Forsmark ◽  
Dana K. Andersen ◽  
John T. Farrar ◽  
Megan Golden ◽  
Aida Habtezion ◽  
...  

1964 ◽  
Vol 15 (1) ◽  
pp. 335-356 ◽  
Author(s):  
K W Warren ◽  
W M McDonald

2013 ◽  
Vol 95 (1) ◽  
pp. e7-e9 ◽  
Author(s):  
SS Raza ◽  
A Hakeem ◽  
M Sheridan ◽  
N Ahmad

Pseudocyst formation following acute and chronic pancreatitis is a well known complication. A pancreatic pseudocyst fistulating into the portal vein is a rare and potentially fatal complication. We report a case of pancreatic pseudocyst – portal vein fistula, which was managed with a conservative approach.


HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e334
Author(s):  
V. Gervaziev ◽  
V. Lubyansky ◽  
A. Mikhaylov ◽  
I. Parfenova ◽  
T. Kharlamova

2021 ◽  
Vol 10 (2) ◽  
pp. 300
Author(s):  
Madeline Drake ◽  
Shah-Jahan M. Dodwad ◽  
Joy Davis ◽  
Lillian S. Kao ◽  
Yanna Cao ◽  
...  

The incidence of acute and chronic pancreatitis is increasing in the United States. Rates of acute pancreatitis (AP) are similar in both sexes, but chronic pancreatitis (CP) is more common in males. When stratified by etiology, women have higher rates of gallstone AP, while men have higher rates of alcohol- and tobacco-related AP and CP, hypercalcemic AP, hypertriglyceridemic AP, malignancy-related AP, and type 1 autoimmune pancreatitis (AIP). No significant sex-related differences have been reported in medication-induced AP or type 2 AIP. Whether post-endoscopic retrograde cholangiopancreatography pancreatitis is sex-associated remains controversial. Animal models have demonstrated sex-related differences in the rates of induction and severity of AP, CP, and AIP. Animal and human studies have suggested that a combination of risk factor profiles, as well as genes, may be responsible for the observed differences. More investigation into the sex-related differences of AP and CP is desired in order to improve clinical management by developing effective prevention strategies, diagnostics, and therapeutics.


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