Diagnostic Possibilities of Computer Tomography and Ultrasonography in Necrotizing Pancreatitis


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Abstract

Nowadays the main methods of radiological diagnostics that are used in the case of necrotizing pancreatitis are computer tomography (CT) and ultrasonography (US). US is preferable in diagnostics of necrotizing pancreatitis thanks to its availability, high-quality definition and possibility of mini-invasive interventions. At the same time there are some problems in defining the spreading of the desease as it’s difficult to get reliable visual information because of flatulence in intestinal and painfulness and tension of peritoneum. Besides the results of US depends a lot on experience and skills of the doctor performing it. CT is considered to be the best method of visual research (it’s also called “the golden diagnostic standard” in pancreatology) that can provide many-sided information on the state of pancreas and retroperitoneal area. The CT is highly objective method in detecting the type and scale of damaged tissues in pancreas and parapancreatic tissue. CT can provide more distinct data about the size, shape, contour and structure of the pancreas, about the size of pancreatitis, about volume and location of liquids in retroperitoneal cellular tissue regardless of the state of the surrounding issues and organs. As well this method of diagnostics lets reveal pancreas and parapancreas abscesses, necrosis of retroperitoneal cellular tissue, existence of sequestrums , the state of bile-excreting flows, gastro-intestinal tract and vascular systems. Thus CT is a highly informative method in diagnostics of an accurate pancreatitis and its complications

About the authors

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Author for correspondence.
Email: hospitalsurgery.vsmu@gmail.com
MD, Prof. of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
MD, Prof., Chief of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Docent of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Docent of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., Docent of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Graduate student of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Graduate student of the Department of Hospital Surgery VSMU Russian Federation

Volgograd State Medical University, 1 Pavshikh Bortsov Sq., Volgograd, 400131, Russian Federation

Email: author@vestnik-surgery.com
Graduate student of the Department of Hospital Surgery VSMU Russian Federation

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