Nutritional status of patient with complicated course of cholelithiasis and pancreatitis
https://doi.org/10.33667/2078-5631-2022-12-15-19
Abstract
Objective. To study the nutritional status of a patient with a complicated course of cholelithiasis and pancreatitis.
Materials and methods. A clinical case of a complicated course of cholelithiasis. Methods: clinical, laboratory and instrumental (biochemical blood analysis, ultrasound examination of abdominal organs, esophagogastroduodenoscopy, endoscopic ultrasound, computed tomography of abdominal organs).
Results. Based on the data of the clinic, laboratory and instrumental studies, surgical complications of the course of cholelithiasis in the patient were identified (choledocholithiasis, acute destructive pancreatitis with the development of an abscess of the subhepatic space on its background, destructive cholecystitis).
Conclusions. Lifestyle modification and timely cholecystectomy would help to avoid the development and complicated course of cholelithiasis.
About the Authors
E. R. Dontsova
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Dontsova Ekaterina R., graduate student of Dept of Internal Medicine No. 2
Vladikavkaz
O. V. Remizov
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Remizov Oleg V., DM Sci (habil.), professor, rector
Vladikavkaz
N. V. Novoselya
North Ossetian State Medical Academy
Russian Federation
Russian Federation
Novoselia Natalia V., DM Sci (habil.), professor at Dept of Internal Medicine with a course of hygiene and ecology
Vladikavkaz
References
1. Ivashkin V. T., Maev I. V., Baranskaya E. K. et al. Recommendations of the Russian Gastroenterological Association for the diagnosis and treatment of cholelithiasis. Russian Journal of Gastroenterology, Hepatology and Coloproctology. 2016; 3 1: 65–66. (In Russ.). https://www.gastroj.ru/jour/article/view/61/48
2. Dedov I. I., Mokrysheva N. G., Melnichenko G. A. et al. Obesity. Clinical recommendations. Consilium Medicum. 2021; 23 (4): 311–325. (In Russ.). https://consilium. orscience.ru/2075–1753/article/view/95436/pdf
3. Arutyunov G. P., Babak S. L., Vasyuk Yu.A.et.al. Diagnosis, treatment, prevention of obesity and associated diseases (National Clinical Guidelines). Saint Petersburg.2017; 12–13. (In Russ.). https://scardio.ru/content/Guidelines/project/ Ozhirenie_klin_rek_proekt.pdf
4. Shapovalyants S. G., Mylnikov A. G., Pankov A. G. et al. Recurrent choledocholithiasis diagnosis, prevention and treatment. Experimental and Clinical Gastroenterology. 2012; (4): 32. (In Russ.). https://cyberleninka.ru/article/n/ retsidivnyy-holedoholitiaz-diagnostika-profilaktika-i-lechenie/viewer
5. Ivashkin V. T., Shirokova E. N., Mayevskaya M. V. et al. Clinical recommendations of the Russian Gastroenterological Association and the Russian Society for the study of the liver for the diagnosis and treatment of cholestasis. Russian Journal of Gastroenterology, Hepatology and Coloproctology. 2015; (2): 43. (In Russ.). http://old-gastro-j.ru/files/s5_1438025138.pdf
6. Lazarenko V. A., Kanishchev Yu.V., Nazarenko P. M. et.al. Laser papillosphincterotomy for choledocholithiasis and acute biliary pancreatitis. Laser medicine. 2021; (2): 49. (In Russ.). https://goslasmed.elpub.ru/jour/article/view/723
7. Gabriel S. A., Dynko V. Yu., Golfand V. V.et al. Endoscopic transpapillary interventions in the diagnosis and treatment of choledocholithiasis. Fundamental research. 2012; (2): 276–282. (In Russ.). https://intelmed.ru/files/science_item/36/
8. Luft V. M. Nutritional support in acute pancreatitis. Practical dietetics. 2013; (4). (In Russ.). https://praktik-dietolog.ru/article/154.html
9. Volkov V. E., Chesnokova N. N. Acute necrotic pancreatitis: topical issues of classification, diagnosis and treatment of local and widespread purulent-necrotic processes. Bulletin of the Chuvash University. 2014; (2): 211–215. (In Russ.). https:// cyberleninka.ru/article/n/ostryy-nekroticheskiy-pankreatit-aktualnye-voprosy-klassifikatsii-diagnostiki-i-lecheniya-lokalnyh-i-rasprostranennyh-gnoyno
10. Khomyakov E. A., Rybakov E. G. Postoperative paresis of the gastrointestinal tract. Surgery. 2017; (3): 79. (In Russ.). https://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-pirogova/2017/3/1002312072017031076
Review
For citations:
Dontsova E.R., Remizov O.V., Novoselya N.V. Nutritional status of patient with complicated course of cholelithiasis and pancreatitis. Medical alphabet. 2022;(12):15-19. (In Russ.) https://doi.org/10.33667/2078-5631-2022-12-15-19
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