[Syndrome of intraabdominal hypertension in patients with destructive forms of pancreatitis]

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Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
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V F Zubritskiĭ, I S Osipov, T A Mikhopulos

    Khirurgiia
    |April 12, 2007
    PubMed

    Results of intraabdominal pressure examination in 129 patients with acute destructive pancreatitis are presented. It is demonstrated that pancreonecrosis was associated with intraabdominal pressure rise in 78% cases, and intraabdominal hypertension syndrome developed in 9.3% patients. Prolonged intraabdominal hypertension in patients with advanced pancreonecrosis requires laparotomy. Correlation between intraabdominal hypertension and diffusion of pancreatogenic intra- and retroabdominal inflammation, and also between intraabdominal hypertension and condition severity according to APACHE II scale is demonstrated.

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