Peculiarities of the foregut organic disorders in patients with an acute pancreatitis

Objective. To study the character and peculiarities of structural changes of esophageal, gastric and duodenal wall in patients with an acute pancreatitis. Materials and methods. Analysis of the esophago–gastro–duodenoscopy results was conducted in 86 patients with estimation of endoscopic signs of the motor–evacuation and organic disorders of foregut. Results. Endoscopic signs of gastrostasis were observed in 17 (20.0%) patients, of duodeno–gastric reflux – in 29 (34.0%), and reflux–oesophagitis – in 14 (16.2%). Reactive inflammatory mucosal gastro–duodenal changes (erythematous and hemorrhagic–erosive gastro–duodenopathy) were determined in 22 (25.6%) patients: in 12 (14.0%) – in moderately severe, and in 10 (11.6%) – in severe acute pancreatitis. In 24 (28.0%) patients an acute erosions of gastric antrum and first duodenal segment were revealed, and in 14 (16.0%) – acute ulcers, which dominated in severe course of the disease. Conclusion. The endoscopic signs of the foregut organic disorders established constitute the predictor of the course severity in an acute pancreatitis and serve a criterion of its diagnosis.