Acute pancreatitis in pregnancy
Abstract
The problem of treating acute pancreatitis is still very urgent. In the structure of acute surgical diseases in the last two years, acute pancreatitis in Moscow ranks first, in 2016, 25.3 %. At the same time, the trend continues for the growth of destructive forms of the disease, accompanied by a large number of complications and high mortality rates. OP is more common in young, primiparous women in the third trimester of pregnancy and in the postpartum period. In pregnant women, acute biliary pancreatitis is most often diagnosed (from 43.6 to 66.0 %). Multidisciplinary approach in pregnant women allows not only to stop the development of acute pancreatitis and prevent the development of serious complications, but also to perform, with the help of minimally invasive methods of treatment, if necessary, correction of homeostasis and hormonal disturbances in order to prevent preterm labor and complications of gestation.
About the Authors
S. M. Chudnykh
Moscow State Medical and Stomatological University n.a. A.I. Evdokimov
Russian Federation
Russian Federation
I. B. Manukhin
Moscow State Medical and Stomatological University n.a. A.I. Evdokimov
Russian Federation
Russian Federation
G. G. Saakian
Moscow State Medical and Stomatological University n.a. A.I. Evdokimov
Russian Federation
Russian Federation
V. S. Egorov
Moscow State Medical and Stomatological University n.a. A.I. Evdokimov
Russian Federation
Russian Federation
N. V. Khvorostukhina
Saratov State Medical University named after V.I. Razumovsky»
Russian Federation
Russian Federation
References
1. Buchler M. W., Gloor B., Miiller C. A. et al. Acute necrotizing pancreatitis: Treatment strategy according to the status of infection // Ann. Surg. - 2000. - 232. - 619-626.
2. Савельев B. C., Филимонов М. И., Гельфанд Б. Р., Бурневич С.З. Инфицированный панкреонекроз. Инфекция в хирургии. 2003; 1: 34-39.
3. Багненко С. Ф. Хирургическая панкреатология / Багненко С. Ф., Курыгин А. А., Синенченко Г. И. - СПб.: Речь, 2009. - 608.
4. Багненко С. Ф., Гольцов В. Р. Острый панкреатит - современное состояние проблемы и нерешенные вопросы // С. Ф. Багненко, В. Р. Гольцов / Альманах Института хирургии им. А. В. Вишневского. - Т. 3. - № 3. - 2008. - 104-112.
5. Еремина Е. Ю. Панкреатит у беременных / Е. Ю. Еремина // Практическая медицина. - 2012. - № 3 (58). - С. 23-28.
6. Костенко В. С. Особенности интенсивной терапии острого панкреатита у беременных / В. С. Костенко, Т. П. Кабанько, В. С. Балацко и др. // Вестник неотложной и восстановительной медицины. - 2012. - Т. 13, № 2. - С. 287-289.
7. Amin T. Management of hypertriglyceridaemia-induced acute pancreatitis in pregnancy / T. Amin, L. C. Poon, T. G. Teoh et al. // J. Matern. Fetal. Neonatal. Med. - 2014. - Vol. 5. - P. 1-5.
8. Gupta N. Severe hypertriglyceridemia induced pancreatitis in pregnancy / N. Gupta, S. Ahmed, L. Shaffer et al. // Case Rep. Obstet. Gynecol. - 2014. - Vol. 3. - P. 485493.
9. Li H. L. Clinical analysis of acute hyperlipidemic pancreatitis during pregnancy and postpartum period / H.L. Li, Y. H. Jiang, Y. Wei et al. // Beijing. Da Xue Xue Bao. - 2014. - Vol. 46 (1). - P. 125-9.
10. Redechova S. Thrombotic microangiopathy in pregnancy complicated by acute hemorrhagic-necrotic pancreatitis during early puerperium / S. Redechova, L. Federova, L. Hammerova et al. // Ceska Gynekol. - 2014. - Vol. 79 (3). - P. 190-2.
11. Charlet P. Acute pancreatitis and pregnancy: Cases study and literature review / P. Charlet, V. Lambert, G. Carles // J. Gynecol. Obstet. Biol. Reprod. (Paris). - 2014. - Vol. 2315 (14). - P. 00217-8.
12. Ducarme G. Acute pancreatitis during pregnancy: a review / G. Ducarm e, F. Maire, P. Chatel et al. // J. Perinatol. - 2014. - Vol. 34 (2). - P. 87-94.
13. Sun Y. Clinical analysis of 16 patients with acute pancreatitis in the third trimester of pregnancy / Y. Sun, C. Fan, S. Wang // Int. J. Clin. Exp. Pathol. - 2013. - Vol. 6 (8). - P. 1696-701.
Review
For citations:
Chudnykh S.M., Manukhin I.B., Saakian G.G., Egorov V.S., Khvorostukhina N.V. Acute pancreatitis in pregnancy. Medical alphabet. 2018;1(11):42-47. (In Russ.)
Views:
543
Email this article 