Novosti
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This journal is indexed in Scopus |
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Year 2009 Vol. 17 No 1
GENERAL AND SPECIAL SURGERY
LITVIN A.A., ALI ABDULAZIZ A.M., RAGOLEVICH G.S.
INDIRECT ENDOLYMPHATIC ANTIBACTERIAL PROPHYLAXIS OF INFECTIOUS COMPLICATIONS OF SEVERE ACUTE PANCREATITIS
Hospital mortality among the patients with severe acute pancreatitis remains rather high. The research objective was efficiency evaluation of indirect endolymphatic antibacterial prophylaxis of infectious complications in the patients with severe acute pancreatitis. In the work the results of treatment of 224 patients with pancreatic necrosis are studied. Endolymphatic antibacterial prophylaxis was used in the treatment of 116 patients with severe acute pancreatitis.
Indirect endolymphatic antibacterial therapy of severe acute pancreatitis is an effective method of pathogenesis prevention of infectious complications and can be recommended as a component of the complex treatment of pancreatic necrosis. Due to the complex prophylaxis of infectious complications of severe acute pancreatitis (indirect endolymphatic antibacterial therapy, interstitial electrophonophoresis, selective intestines decontamination, a puncture and drainage of acute liquid formations under the ultrasound, etc.) the frequency of infected pancreatic necrosis has decreased from 50 % to 39 %. Endolymphatic therapy reduces requirement for expensive antibiotics, facilitates the change of tactical modes of antibacterial therapy in the patients with severe acute pancreatitis.
- Мартов, Ю. Б. Острый деструктивный панкреатит / Ю. Б. Мартов, В. В. Кирковский, В. Ю. Мартов; под ред. Ю. Б. Мартова. – Москва: Мед. лит., 2001. – 79 с.
- Mazaki, T. Meta–analysis of prophylactic antibiotic use in acute necrotizing pancreatitis / T. Mazaki, Y. Ishii, T. Takayama // Br. J. Surg. – 2006. – Vol. 93, N 6. – P. 674-684.
- Meta–analysis of prophylactic parenteral antibiotic use in acute necrotizing pancreatitis / Z. Dambrauskas [et al.] // Medicina (Kaunas, Lithuania). – 2007. – Vol. 43, N 4. – P. 291-300.
- Эволюция стерильного панкреонекроза при различных режимах антибактериальной профилактики и терапии / В. С. Савельев [и др.] // Анналы хирургии. – 2002. – № 1. – С. 31-42.
- Sharma, V. K. Prophylactic antibiotic administration reduces sepsis and mortality in acute necrotizing pancreatitis: a meta-analysis / V. K. Sharma, C. W. Howden // Pancreas. – 2001. – Vol. 22, N 1. – P. 28-31.
- Evidence–based treatment of acute pancreatitis: antibiotic prophylaxis in necrotizing pancreatitis / M. G. Besselink [et al.] // Ann. Surg. – 2006. – Vol. 244, N 4. – P. 637-639.
- Парапанкреатит. Этиология, патогенез, диагностика, лечение / А. Д. Толстой [и др.]. – СПб.: Издательство «Ясный Свет», 2003. – 256 с.
- Костюченко, А. Л. Неотложная панкреатология / А. Л. Костюченко, В. И. Филин. – СПб.: Деан, 2000. – 480 с.
- Лимфогенные методы в лечении деструктивного панкреатита / Ю. В. Немытин [и др.] // Анналы хирургии. – 2002. – № 6. – С. 35-39.
- Оптимизированная лечебно-диагностическая тактика при инфицированном панкреонекрозе / А. А. Литвин [и др.] // Вестник хир. гастроэнтерологии. – 2007. – № 3. – С. 79.
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