nogrЭкспериментальная и клиническая гастроэнтерологияExperimental and Clinical Gastroenterology1682-8658«Global Media Technologies»10.31146/1682-8658-ecg-195-11-42-51nogr-1781Research ArticleОБЗОРREVIEWЛучевые методы визуализации в диагностике и оценке тяжести острого панкреатитаRadiation methods of visualization in diagnostics and assessment of the severity of acute pancreatitis (review of literature)https://orcid.org/0000-0001-9422-1776ЭктовВ. Н.EktovV. N.

Эктов Владимир Николаевич, заведующий кафедрой хирургических дисциплин Института дополнительного профессионального образования, д. м. н., профессор

394036, Россия, Воронеж, ул. Студенческая, 10

Vladimir N. Ektov, Head of the Department of Surgical Disciplines, Institute of Continuing Professional Education

394036, Voronezh

ektov.vladimir@yandex.ruhttps://orcid.org/0000-0003-2584-0471ХодорковскийМ. А.KhodorkovskiyM. A.

Ходорковский Марк Анатольевич, профессор кафедры хирургических дисциплин Института дополнительного профессионального образования, д. м. н., профессор

394036, Россия, Воронеж, ул. Студенческая, 10

Mark A. Khodorkovskiy, Professor of the Department of Surgical Disciplines, Institute of Continuing Professional Education, MD, Professor

394036, Voronezh

https://orcid.org/0000-0002-8456-8685ФедоровА. В.FedorovA. V.

Федоров Андрей Владимирович, профессор кафедры эндоскопической хирургии Факультета дополнительного профессионального образования, д. м. н., профессор

Andrey V. Fedorov, Professor of the Department of Endoscopic Surgery, Faculty of Continuing Professional Education, MD, Professor

Moscow

Федеральное государственное бюджетное образовательное учреждение высшего образования «Воронежский государственный медицинский университет им. Н. Н. Бурденко» Минздрава РоссииРоссияBurdenko Voronezh State Medical UniversityRussian FederationФедеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико-стоматологический университет им. А. И. Евдокимова» Минздрава РоссииРоссияEvdokimov Moscow State University of Medicine and DentistryRussian Federation2021020120220114251Copyright © Эктов В.Н., Ходорковский М.А., Федоров А.В., 20222022Эктов В.Н., Ходорковский М.А., Федоров А.В.Ektov V.N., Khodorkovskiy M.A., Fedorov 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://www.nogr.org/jour/article/view/1781

У пациентов с острым панкреатитом (ОП) диагностическая визуализация имеет большое значение в определении этиологии заболевания и первичной диагностике в неясных клинических ситуациях. В обзоре представлены данные литературы о методологии, показаниях и сроках выполнения различных методов визуализации в диагностике и лечении ОП. Изложена подробная информация о современных возможностях томографии в стратификации степени тяжести ОП и морфологической оценке местных осложнений. В настоящее время лучевые методы визуализации имеют решающее значение при планировании дренирующих миниинвазивных хирургических вмешательств при ОП и последующей оценке их эффективности, что делает врача-радиолога постоянным и ключевым участником мультидисциплинарной бригады специалистов, способствующей оптимизации ближайших и отдаленных результатов лечения этой сложной патологии.

In patients with acute pancreatitis (AP), diagnostic imaging is very important for determining disease etiology and its primary diagnosis in unclear clinical situations. This review presents literature data about the methodology, indications and timing of various imaging methods in the diagnosis and treatment of AP. The detailed information about modern tomography capabilities in stratification of AP severity and morphological assessment of its local complications is presented. Currently, beam imaging methods are crucial in planning of draining minimally invasive surgical interventions for AP and subsequent assessment of their effectiveness, which makes the radiologist a permanent and key member of a multidisciplinary team of specialists, contributing to the optimization of the immediate and long-term results of treatment of this complex pathology.

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