Rezidentu zinātniski pētnieciskie darbi

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Browsing Rezidentu zinātniski pētnieciskie darbi by Subject "alkohola lietošana"

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    Smaga akūta pankreatīta (pankreonekrozes) etioloģija, diagnostika, slimības gaita, ārstēšanas taktika, un iznākums pēdējo 5 gadu laika Daugavpils Reģionālajā slimnīcā
    (Rīga Stradiņš University, 2024) Avelidi, Marija Darja; Lovčinovskis, Viktors; Faculty of Residency; Rezidentūras studiju fakultāte
    Acute pancreatitis is a pancreatic inflamation that occurs in a short period of time. The pancreas is a small organ located behind the stomach near the duodenum and is involved in digestion. Pancreatitis is most often manifested by pain in the epigastrium. Most of the time ~80% resolve easily without any complications, but severe cases require a multidisciplinary approach. Acute pancreatitis is one of the most actual problems in modern medicine because it is common, ~20%-25% progress with the complication like pancreonecrosis. If acute pancreatitis is untreated can lead to serious health problems such as chronic pain or progress to a chronic form, sometimes with fatal outcome. The aim of this study is to find out how often pancreonecrosis develops compared to all acute pancreatitis, to find out the more common factors that lead to the development of pancreonecrosis, to find out the more common treatment outcome in patients after diagnosis of pancreonecrosis, and to find out the association of mortality with age, sex, aetiological factor, and location of pancreonecrosis. Patient history analysis will be used to investigate this question. Data will be structured and processed in MS Excel 2007 and SPSS 30. In total, 554 people with SSK10 diagnosis code K85 - acute pancreatitis were hospitalized in Daugavpils Regional Hospital in the last 5 years from 2019 to 2023, of which 84 people were diagnosed with acute pancreatitis with pancreonecrosis, 28 women (33.3%) and 56 men (66.7%). The highest number of patients is hospitalised in 2019 - 123 people and the lowest in 2021 - 93 people. On the other hand, the highest number of pancreonecrosis is in 2019 - 23 people or 18.69%, and the lowest number in 2020 - 13 people or 10.83%. The results show that the lethal outcome for pancreonecrosis was 15 patients or 17.9%, which is 2.7% of all pancreatitis cases. The mean age of the patients was 53.3 ± 15.7 years. In general, the predominant aetiological factor for the development of pancreonecrosis during the 5-year follow-up was excessive alcohol consumption in 38 patients (45.2%) and gallstone disease in 26 patients (31%).