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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/13548
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dc.contributor.authorCazac, A.
dc.contributor.authorHotineanu, V.
dc.contributor.authorHotineanu, A.
dc.contributor.authorPripa, V.
dc.contributor.authorCotoneţ, A.
dc.contributor.authorŢibrigan, T.
dc.date.accessioned2020-12-02T11:52:54Z
dc.date.available2020-12-02T11:52:54Z
dc.date.issued2015
dc.identifier.citationCAZAC, A., HOTINEANU, V., HOTINEANU, A., et al. Managementul diagnostic modern al pancreatitei cronice şi complicaţiilor sale evolutive = Modern diagnostic of chronic pancreatitis and its evolutive complications. In: Arta Medica. 2015, nr. 3(56), p. 20. ISSN 1810-1852.en_US
dc.identifier.issn1810-1852
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/13548
dc.descriptionCatedra 2 Chirurgie, LCŞ „Chirurgie reconstructivă a tractului digestiv”, USMF „Nicolae Testemiţanu”, IMSP SCR, Chişinău, Republica Moldova, Al XII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova cu participare internațională 23-25 septembrie 2015en_US
dc.description.abstractIntroducere: Gravitatea notabilă a pancreatitei cronice (PC) şi complicaţiilor sale evolutive, polimorfizmul tabloului clinic marcat şi de asocieri lezionale, corelația unui diagnostic tardiv, rata înaltă de mortalitate impun implicarea a numeroase metode imagistice de diagnostic. Scop: Evaluarea strategiilor diagnostice în PC şi complicaţiile sale evolutive. Material şi metode: Studiul prezintă rezultatele metodelor de diagnostic aplicate la 460 pacienţi cu PC şi complicaţiile sale evolutive, desfăşurat în perioada anilor 1994-2014 în Clinica Chirurgie nr.1 din cadrul Catedrei 2 Chirurgie. Diagnosticul PC şi complicaţiilor sale evolutive a fost stabilit în baza rezultatelor examinărilor clinice, biochimice, marcherilor tumorali, investigaţiilor imagistice (USG, inclusiv şi USG i/o, FEGDS, radiografia simplă a cavităţii abdominale, radiografia cu masă baritată a stomacului şi duodenului, CT în regim standard şi angiografic, ERCP, IRM în regim standard şi colangiografic, pancreatografie i/o). Rezultate: Durata maladiei (90%) frecvent a variat de la 2 la 10 ani. Preponderent etiologia a fost determinată de etilism (60,50%) şi malrotaţie duodenală (39,5%). Sensibilitatea diagnostică: USG preoperator – 82,5%, USG intraoperator – 93,3%; CT – 98%; IRM în regim standard şi colangiografic – 98%; ERCP – 89%. Concluzii: Diagnosticul contemporan al PC şi complicaţiilor sale evolutive necesită aplicarea unei game largi de investigaţii clinice, de laborator, imagistice, care oferă o informaţie veridică despre gradul afecţiunii pancreasului, ceea ce permi te aplicarea tacticii curative optimale.en_US
dc.description.abstractIntroduction: The notable severity of chronic pancreatitis (CP) and its evolutionary complications, the polymorphism of the clinical picture marked by lesional associations, the correlation of a belated diagnosis and the high mortality rate require the involvement of many diagnostic imaging methods. Aim: The evaluation of diagnostic strategies into CP and its evolutionary complications. Material and methods: The study presents the results of diagnostic methods applied to 460 patients with CP and its evolutionary complications, held during 1994-2014 in the Surgical Clinic No.1. The diagnosis of CP and its evolutionary complications was established based on the results of clinical examinations, tumor markers, imaging investigations (USG), FEGDS, simple abdominal radiography, radiographic examination with barium of the stomach and duodenum, CT (regimen standard and angiographic), ERCP, MRI (regimen standard and cholangiographic), pancreatography). Results: The duration of disease (90%) varied from 2 to 10 years. Mostly, the cause has been determined by the alcoholism (60.5%) and duodenal malrotation (39.5%). Diagnostic sensitivity: preoperative USG – 82.5%, intraoperative USG – 93.3%; CT – 98%; MRI standard regime and cholangiography – 98%; ERCP – 89%. Conclusions: The contemporary diagnosis of the CP and its evolutionary complications require applying a wide range of laboratory and clinical investigations, also imaging investigations that are giving truthful information about the level of pancreas disease, which allows the application of optimal curative tactics.
dc.publisherAsociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldovaen_US
dc.titleManagementul diagnostic modern al pancreatitei cronice şi complicaţiilor sale evolutiveen_US
dc.title.alternativeModern diagnostic of chronic pancreatitis and its evolutive complicationsen_US
dc.typeOtheren_US
Appears in Collections:Arta Medica Vol. 56 No 3, 2015 ediție specială



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