References

milmed

Военная медицина

Military Medicine

2074-5044

Белорусский государственный медицинский университет

10.51922/2074-5044.2023.2.102

milmed-264

Research Article

ОБЗОРЫ И ЛЕКЦИИ

REVIEWS AND LECTURES

Острый панкреатит билиарной этиологии эпидемиология и современные представления о патогенезе. Сообщение 1

ACUTE PANCREATITIS OF BILIARY ETIOLOGY EPIDEMIOLOGY AND CURRENT VIEWS ON PATHOGENESIS. Report 1

Мазаник

А. В.

Mazanik

A. V.

ГУ «432 ордена Красной Звезды главный военный клинический медицинский центр Вооруженных Сил Республики Беларусь»Belarus

2023

26082026

02102107

2026

Мазаник А.В.

Mazanik A.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://milmed.ejournal.by/jour/article/view/264

Представлены эпидемиологические данные и современные представления о патогенезе острого панкреатита билиарной этиологии.

Острый панкреатит билиарной этиологии является распространенной патологией с уровнем общей летальности 2–7%, а при тяжелом течении – 17–39%. Ведущим патогенетическим механизмом острого панкреатита билиарной этиологии служит панкреатобилиарная протоковая гипертензия. При консервативном лечении частота рецидивов острого панкреатита билиарной этиологии достигает 90% с уровнем летальности до 31%. Единственным фактором риска развития рецидива является отказ от выполнения холецистэктомии после первого приступа острого панкреатита билиарной этиологии больным, состояние которых позволяло перенести вмешательство.

The epidemiological data and modern ideas concerning the pathogenesis of acute biliary pancreatitis are presented. Acute pancreatitis of biliary etiology is a widespread pathology with the lethality rate of 2–7%, and at a severe course – 17–39%. The leading pathogenetic mechanism of acute pancreatitis of biliary etiology is pancreaticobiliary ductal hypertesion. During the conservative treatment the relapse rate of acute biliary pancreatitis reaches 90% with the lethality rate up to 31%. The only risk factor of the relapse development is refusal to perform cholecystectomy after the first attack of acute biliary pancreatitis to the patients whose condition permitted to survive the intervention.

острый панкреатитбилиарная этиология

acute pancreatitisbiliary etiology

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The authors declare that there are no conflicts of interest present.