PREDICTION OF THE COURSE OF PANCREATOGENIC PERITONITIS

Abstract

Summary. Peritoneal exudate in acute pancreatitis, which is found in 60–80 % of patients with acute destructive pancreatitis, is highly toxic and contributes to multiple organ failure. Materials and methods. The study is a retrospective analysis of the results of treatment in 69 patients with acute pancreatitis complicated by pancreatogenic peritonitis. Patients underwent clinical, laboratory and instrumental examination. For statistical processing, the normalized value of the Pearson coefficient (C’) was used. Research results and their discussion. Clinical and laboratory predictors of the development of acute destructive pancreatitis complicated by pancreatogenic peritonitis have been determined. They were given a score. Conclusions. Taking into account the point assessment of clinical and laboratory predictors, three prognostic groups were determined regarding the complicated course of acute pancreatitis and the determining of indications for surgical interventions.