RESUMEN
The review is devoted to complex treatment of chronic pancreatitis considering modern data on pathogenesis of this disease. The authors analyze various aspects of endoscopic and surgical interventions in refractory pain syndrome and complications of chronic pancreatitis, as well as positive and negative aspects of each method. Various surgical interventions and indications are analyzed in detail. One of the important points was analysis of the period between disease onset and surgical treatment that affects quality of life in patients with chronic pancreatitis in mid- and long-term period.
Asunto(s)
Pancreatitis Crónica , Calidad de Vida , Enfermedad Crónica , Drenaje , Endoscopía , Humanos , Pancreatitis Crónica/complicaciones , Pancreatitis Crónica/diagnóstico , Pancreatitis Crónica/cirugíaRESUMEN
Owing the experience of 16 101 miniinvasive operations by acute diseases of the abdominal cavity, the authors pose that the introduction of polytechnological methods has certain perspectives. The combination of different methods with the use of modern technologies lead to better results.
Asunto(s)
Abdomen Agudo/cirugía , Urgencias Médicas , Laparoscopía/métodos , Laparotomía/métodos , Humanos , Estudios Multicéntricos como AsuntoAsunto(s)
Fístula Cutánea , Fémur , Necrosis/cirugía , Osteomielitis , Infecciones por Salmonella , Salmonella enteritidis/aislamiento & purificación , Supuración/cirugía , Adulto , Antibacterianos/uso terapéutico , Técnicas de Tipificación Bacteriana , Terapia Combinada , Fístula Cutánea/microbiología , Fístula Cutánea/patología , Fístula Cutánea/cirugía , Desbridamiento , Femenino , Fémur/microbiología , Fémur/patología , Fémur/cirugía , Humanos , Masculino , Necrosis/etiología , Necrosis/patología , Osteomielitis/microbiología , Osteomielitis/patología , Osteomielitis/fisiopatología , Osteomielitis/terapia , Infecciones por Salmonella/sangre , Infecciones por Salmonella/complicaciones , Infecciones por Salmonella/fisiopatología , Infecciones por Salmonella/terapia , Salmonella enteritidis/efectos de los fármacos , Salmonella enteritidis/patogenicidad , Supuración/etiología , Supuración/patología , Resultado del TratamientoRESUMEN
Cerebral dysfunction due to epilepsy is not currently well-understood and needs to be further investigated. We have observed patients with static encephalopathy (cerebral palsy) of nearly equal severity with epileptic encephalopathy and symptomatic epilepsy and have had carried out comparative analysis of prognosis among these groups. The work is based on the results of investigation of 121 patients admitted to the Center of child neurology and neurorehabilitation during the period 2000-2005. 69 patients with epileptic encephalopathies were included into the study groups according to following criteria: I group -- cases with early starting seizures (before 1 year of life) and II group -- starting seizures after 1 year of life. The control group involved 52 patients with associated cerebral palsy of different severity and symptomatic epilepsy. The study and control groups were compared prognostically. According to our data, prognosis and outcome of epilepsy was closely associated with the time of onset of epilepsy syndromes: early started (within the first year) epileptic encephalopathies display the highest correlation with poor prognosis; the risk of development of epileptic encephalopathies is the highest in patient with cerebral palsy and early starting of seizures.