N Iu Markina | PubMed Health

PubMed2006

[Diagnostic algorithm in severe acute pancreatitis].

Efficacy of diagnostic algorithm in 164 patients with severe acute pancreatitis based on complex results of ultrasonic examination, esophagogastroduodenoscopy, computed tomography, magnetic resonance pancreatocholangiography and retrograde pancreatocholangiography is analyzed. The results show that this algorithm is highly effective and provides optimal treatment policy, better treatment results and lower lethality in severe acute pancreatitis. Balthazar's score system with calculation of CTSI index in combination with Ranson and Apache II scales raise accuracy of the disease prognosis.

Acute Disease↗

PubMedDate not supplied

[Biodegradable ureteral stents in treating patients with infravesical obstruction].

Biodegradable endoprostheses SR-PLGA and SR-PLLA were used in combined treatment of 39 patients with urethral stricture (n = 24), neurogenic urinary bladder (n = 9), benign prostatic hyperplasia (n = 4), prostatic cancer (n = 2). In definition of indications for stent implantation the leading role was assigned to preoperative diagnosis of the state of the urinary bladder, urethra and sphincters using urodynamic tests and dynamic Doppler and three-dimensional echourethrography. Introduction of biodegradable urethral stents provides adequate spontaneous urination and allows avoiding external drainage. This prevents nosocomial infection and lowers the number of inflammatory complications. Palliative usage of stents in inoperable and neurological patients is effective in their medical and social rehabilitation. Analysis of errors and complications in 8 patients demonstrates that implantation of biodegradable stents is not absolute safe and requires some caution.

Aged↗