Intra-abdominal hypertension and pancreatic destruction in patients with acute necrotizing pancreatitis.

Objective: Aim: To determine the relationship between intra-abdominal hypertension and the volume of pancreatogenic necrosis in patients with acute necrotizing pancreatitis.

Patients And Methods: Materials and Methods: A prospective single-center study of 32 adults with acute necrotizing pancreatitis (ANP). A correlation was made between the maximum intra-abdominal pressure (IAP) in the early phase of the disease and the area of pancreatic necrosis and extrapancreatic necrosis (EPN) according to CT data.

PREDICTION OF EXTERNAL PANCREATIC FISTULA DEVELOPMENT IN PATIENTS WITH ACUTE INFECTED NECROTISING PANCREATITIS.

Objective: The aim: To search for risk factors for the development of external pancreatic fistula (EPF) in patients with acute infected necrotizing pancreatitis.

Patients And Methods: Materials and methods: A prospective single-center observational study was conducted with the participation of 160 adult patients with infected acute necrotizing pancreatitis (ANP) who required intervention at different stages of the disease. Depending on the amylase activity of the drainage secretions, the groups with and without diagnosed EPF were compared according to 15 demographic, clinical, laboratory and instrumental parameters of the disease.

ABDOMINAL PERFUSION PRESSURE IN PREDICTION OF THE TERMS OF ACUTE NECROTIZING PANCREATITIS INFECTION.

Objective: The aim: To determine the role of the abdominal perfusion pressure level at the beginning of the disease in predicting the timing of infection of acute nec¬rotizing pancreatitis.

Patients And Methods: Materials and methods: A retrospective cross-sectional single-center study of 39 patients with acute severe pancreatitis (ASP) and pancreatic infection (PI) with measured and calculated minimal abdominal perfusion pressure (APP) in the first 48 hours of the disease. The existence of a correlation between the onset of PI and the level of intra-abdominal (IAP) and abdominal perfusion pressure was calculated and a single-factor mathematical model of linear regression was built.

C-REACTIVE PROTEIN AS A MARKER OF CLINICAL AND LABORATORY REMISSION IN PATIENTS WITH ACUTE NECROTIZING PANCREATITIS.

Objective: The aim: To estimate the role of C-reactive protein levels as a marker of clinical and laboratory remission in patients with acute necrotizing pancreatitis.

Patients And Methods: Materials and methods: A single-center retrospective non-randomized study of 68 patients (37 (54%) men, 31 (46%) women) was carried out in the period from September 2019 to October 2020. The patients were divided into two groups: group 1 included 9 (13.

CASE STUDY: MAJOR DUODENAL PAPILLA CANCER COMPLICATED BY ACUTE PARACANCROTIC NECROTIZING PANCREATITIS.

The given paper describes a case of treating adenocarcinoma of the papilla of Vater diagnosed as the cause after an episode of acute pancreatitis. The etiology of aсute pancreatitis was considered idiopathic until the onset of complaints caused by tumor growth. The volume of radical surgery has changed intraoperatively due to the detection of infected limited necrotic clusters, didn't diagnosed both laboratory and instrumentally.