PANCREATITIS IN PREGNANCY: CASE MANAGMENT
Abstract
The purpose of the review is to summarise the current data on chronic and acute pancreatitis with the goal to improve the diagnostics and treatment of women during pregnancy, which complicates differential diagnosis of hepatopancreatobiliary system pathology. The features of the incidence, etiology, pathogenesis and evaluation of the severity of the clinical manifestations of acute pancreatitis in pregnant women are given. It is emphasis that the most frequent its reason is the gallstones following by the biliary pancreatitis. The experience of use in pregnant patients imaging methods - endoscopic ultrasound, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography, as well as treatments that include endoscopic sphincterotomy, stone extraction from the common bile duct and laparoscopic cholecystectomy. The recommendations are based on expert opinions and are not supported by randomized controlled trials. Nevertheless more active clinical management allows to diagnose and treat effectively pancreatitis, including biliary etiology, which contributes to a sharp decline in maternal and perinatal mortality.
About the Authors
I. O. Marinkin
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
T. M. Sokolova
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
T. V. Kiseleva
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
V. M. Kuleshov
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
K. Yu. Makarov
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
A. V. Yakimova
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
S. V. Aidagulova
FSBEF HE NSMU HMR - Federal State Budget Educational Foundation of the High Education «Novosibirsk State Medical University» of the Health Ministry of Russia
Russian Federation
Russian Federation
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Review
For citations:
Marinkin I.O., Sokolova T.M., Kiseleva T.V., Kuleshov V.M., Makarov K.Yu., Yakimova A.V., Aidagulova S.V. PANCREATITIS IN PREGNANCY: CASE MANAGMENT. Experimental and Clinical Gastroenterology. 2016;(9):91-97. (In Russ.)
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