Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko99010.18499/2070-478X-2012-5-1-154-159Original articlesОригинальные статьиResearch ArticleThe use of early enteral nutrition and selective decontamination of the intestine in the treatment of acute destructive pancreatitisПрименение раннего энтерального питания и селективной деконтаминации кишечника в лечении острого деструктивного панкреатитаMylnikovAndrey GennadievichМыльниковАндрей Геннадьевич
Russian Federation

Candidate of Medical Sciences, Associate Professor of the Scientific and Educational Center of Abdominal Surgery and Endoscopy of the Russian State Medical Univernity named after N. N. Pirogov

кандидат медицинских наук, доцент научно-образовательного центра абдоминальной хирургии и эндоскопии Российского государственного медицнского униерситета имени Н.Н.Пирогова

dr.mylnikov@yandex.ruKorolevSergey VladimirovichКоролевСергей Владимирович
Russian Federation

Junior research assistant of the Institute of Surgery named after A.V. Vishnevsky

младший научный сотрудник Института хирургии имени А.В. Вишневского

Korolev-S@ixv.comcor.ruRussian State Medical University named after N.I. PirogovРоссийский государственный медицинский университет имени Н.Н.ПироговаInstitute of Surgery named after A.V. VishnevskyИнститут хирургии имени А.В.Вишневского19012012511541591403201702042017Copyright ©; 2012, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2012, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2012Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/990

The problems of diagnosis and treatment of acute pan-Creatine (OP) is traditionally considered one of the mostComplicated in surgical practice. This isOn the one hand, a significant increase in the frequencyIts occurrence. So, if at the beginning of the twentieth century, the OP wasHe was seen as casuistry, but nowAcute surgical diseases of the abdominal organsCavity, it is second only to acute appendicitis andAcute cholecystitis [1, 3, 4, 5, 16, 26]; Moreover, the co-The socio-economic significance of the problem lies in theThat the OP is mainly affected by persons workingOf the same age (30-50 years) [10, 11, 16, 26]. On the other hand,Although the overall lethality in OP varies from 1Up to 7% [3, 4, 10, 16], then under destructive forms itRemains at an extremely high level (from 12 to 87%), notWith a clear downward trend in recent years20 years [1, 3, 7, 10, 26].

Проблемы диагностики и лечения острого панкреатита (ОП) традиционно считаются одними из самых сложных в хирургической практике. Это обусловлено, с одной стороны, значительным ростом частоты его встречаемости. Так, если в начале ХХ века ОП описывался как казуистика, то в настоящее время среди острых хирургических заболеваний органов брюшной полости он уступает только острому аппендициту и острому холециститу [1, 3, 4, 5, 16, 26]; кроме того, со циально-экономическое значение проблемы состоит в том, что ОП в основном страдают лица работоспособного возраста (30–50 лет) [10, 11, 16, 26]. С другой стороны, хотя общая летальность при ОП колеблется от 1 до 7% [3, 4, 10, 16], то при деструктивных формах она остается на крайне высоком уровне (от 12 до 87%), не имея отчетливой тенденции к снижению за последние 20 лет [1, 3, 7, 10, 26].

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