This review is devoted to internationally accepted diagnostic algorithms for complicated chronic pancreatitis (CP). In addition, the authors discuss interventional radiological and endoscopic diagnostic and therapeutic procedures, as well as their role in surgical approaches for this disease. Chronic pancreatitis is often diagnosed with severe symptoms following severe course of disease and complications.
View Article and Find Full Text PDFBleeding from esophageal and gastric varices is a major factor of mortality in patients with portal hypertension. The gold standard for diagnosis of portal hypertension is hepatic venous pressure gradient determining the treatment algorithms and risk of recurrent bleeding. Combination of endoscopic methods and therapy is limited by varix localization and not always effective.
View Article and Find Full Text PDFObjective: To prevent purulent-septic complications in patients with destructive pancreatitis.
Material And Methods: A cohort study included 488 patients with pancreatic necrosis: group 1 (=331) - active surgical strategy, group 2 (=157) - follow-up and therapy. We used binary logistic regression to predict purulent-septic complications.
Objective: To analyze the results of endovascular embolization of malignant tumors and liver metastases.
Material And Methods: We analyzed international studies on the treatment of patients with neoplastic liver lesions and complications after regional endovascular embolization following leakage of chemotherapeutic drugs from the target vessel and negative systemic effects. The results of embolization of liver arteries without chemotherapeutic drugs were also analyzed.
Objective: To compare laparoscopic and laparoscopy-assisted repair of perforated peptic ulcer using evidence-based methods.
Material And Methods: A systematic review and meta-analysis were carried out in accordance with the recommendations of the Ministry of Health of Russian Federation and
Unlabelled: Data searching was carried out in Russian and English languages using the E-library, Cochrane Library and PubMed databases. We analyzed titles and references in specialized journals and thematic reviews, respectively.