{"id":1965,"date":"2020-08-31T23:14:32","date_gmt":"2020-08-31T20:14:32","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=1965"},"modified":"2020-11-24T17:45:58","modified_gmt":"2020-11-24T15:45:58","slug":"%d0%b1%d0%b8%d0%bb%d0%b8%d0%b0%d1%80%d0%bd%d1%8b%d0%b9-%d0%bf%d0%b0%d0%bd%d0%ba%d1%80%d0%b5%d0%b0%d1%82%d0%b8%d1%82-%d0%bf%d1%80%d0%b8%d1%87%d0%b8%d0%bd%d1%8b-%d1%80%d0%b0%d0%b7%d0%b2%d0%b8%d1%82","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/1965","title":{"rendered":"Biliary pancreatitis: reasons of development and going near treatment"},"content":{"rendered":"

Prof. T.D. Zvyagintseva, as. Ya. K. Gamanenko. <\/strong><\/p>\n

Kharkiv Medical Academy of Postgraduate Education<\/strong><\/p>\n

Biliary pathology is the most common cause of the development of acute and exacerbation of chronic pancreatitis. A feature of biliary pancreatitis, which distinguishes it from other forms of pancreatitis, is the combination of exocrine pancreatic insufficiency with chronic biliary insufficiency, which affects the quality of the digestive process. The main development factors, symptoms, diagnostic algorithms for verifying the diagnosis of biliary pancreatitis are presented. The article discusses the main directions in the treatment of biliary pancreatitis, taking into account the elimination of the causes of the disease \u2014 choledocholithiasis, strictures of the terminal part of the common bile duct and duodenal papilla, dyskinesia of the gallbladder and sphincter of Oddi. For this, the modern possibilities of conservative, endoscopic and surgical treatment of this disease are used.<\/p>\n

Key Words:<\/strong> biliary pancreatitis, exocrine pancreatic insufficiency, 13C-triglyceride breath test, biliary pathology, pathogenetic therapy.<\/p>\n

https:\/\/dx.doi.org\/10.15407\/internalmed2020.02.004<\/strong><\/p>\n

Download.PDF<\/a><\/strong><\/p>\n

For citing:<\/strong><\/p>\n

    \n
  1. \u0417\u0432\u044f\u0433\u0438\u043d\u0446\u0435\u0432\u0430, \u0422.\u0414. \u0411\u0438\u043b\u043b\u0438\u0430\u0440\u043d\u044b\u0439 \u043f\u0430\u043d\u043a\u0440\u0435\u0430\u0442\u0438\u0442: \u043f\u0440\u0438\u0447\u0438\u043d\u044b \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0438 \u043f\u043e\u0434\u0445\u043e\u0434\u044b \u043a \u043b\u0435\u0447\u0435\u043d\u0438\u044e \/ \u0422.\u0414. \u0417\u0432\u044f\u0433\u0438\u043d\u0446\u0435\u0432\u0430, \u042f.\u041a. \u0413\u0430\u043c\u0430\u043d\u0435\u043d\u043a\u043e \/\/ \u0421\u0445\u0456\u0434\u043d\u043e\u0454\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u044c\u043a\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0457 \u0442\u0430 \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0438. – 2020. – \u2116 2. – \u0421. 4-11. doi: 10.15407\/internalmed2020.02.004.<\/li>\n
  2. Zvyagintseva TD, Gamanenko YaK. [Biliary pancreatitis: reasons of development and going near treatment]. Shidnoevr. z. vnutr. simejnoi med. 2020;2:4-11. Russian. doi: 10.15407\/internalmed2020.02.004.<\/li>\n<\/ol>\n

    References:<\/strong><\/p>\n

      \n
    1. Ghoncarjuk DO, Khrystych TN. Rol’ mikrobioty u perebighu rozvytku metabolichnykh procesiv pry khronichnomu pankreatyti. Vestnyk Kluba pankreatologhov. 2018;4 (37):22-26. Ukrainian.<\/li>\n
    2. Gubergric NB, Fomenko PG, Beljaeva NV. \u00abRokovaja cepochka\u00bb: i v pankreatologii tozhe. Suchasna gastroenterolog\u0456ja. 2018;5(91):97-102. Russian.<\/li>\n
    3. Desjateryk VI, Krykun MS. Vyznachennja miscevykh uskladnenj ghostrogho pankreatytu v pereghljanutij Atlantsjkij klasyfikaciji ta jikh vplyv na mozhlyvi vtruchannja. Zdorov \u0301ja Ukrajiny. 2018;4(46):40-41. Russian.<\/li>\n
    4. Zvjaghinceva TD, Sharghorod II. Biliarnyj i alkogholjnyj pankreatyty. Navch. posibn. dlja samostijnoji roboty slukhachiv. Kharkiv: Madryd;2019. 36 p. Ukrainian.<\/li>\n
    5. Zvjaginceva TD, Shargorod II. Biliarnyj pankreatit. L\u0456ki Ukra\u0457ni. 2012;2(158):52-59. Russian.<\/li>\n
    6. Zvyagintseva TD, Shargorod II. [Chronic pancreatitis: current concepts of pathogenesis, diagnosis and treatment]. Shidnoevr. z. vnutr. simejnoi med. 2015;1:10-16. Russian. http:\/\/dx.doi.org\/10.15407\/internalmed2015.01.010<\/li>\n<\/ol>\n
        \n
      1. Zvyagintseva TD, Shargorod II. [Phatological state after cholecystectomy: from pathogenesis to treatment]. z. vnutr. simejnoi med. 2017;2:9-15. Russian. https:\/\/dx.doi.org\/10.15407\/internalmed2017.02.009<\/li>\n<\/ol>\n
          \n
        1. Majev IV, Bidejeva TV, Kucherjavyj JuO. Farmakoterapija khronichnogho pankreatytu z pozycij suchasnykh klinichnykh rekomendacij. Zdorov \u0301ja Ukrajiny. Tematychnyj nomer. 2019;1(51):3-6. Russian.<\/li>\n
        2. L\u00f6hr JM, Dominguez-Munoz E, Rosendahl J, et al. United European Gastroenterology evidence-based guidelines for the diagnosis and therapy of chronic pancreatitis (HaPanEU). United European Gastroenterology Journal. 2017;5(2):153-199. doi:10.1177\/2050640616684695<\/li>\n<\/ol>\n
            \n
          1. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013 Sep;108(9):1400-16. doi: 10.1038\/ajg.2013.218.<\/li>\n<\/ol>\n
              \n
            1. Tkach SM. Praktychni pidkhody do likuvannja boljovogho syndromu pry khronichnomu pankreatyti v Ukrajini. Zdorov \u0301ja Ukrajiny. Tematychnyj nomer. 2017: 10-11. Ukrainian.<\/li>\n
            2. Tkach SM, Shvec OV. Sovremennye podhody k optimizacii diagnostiki i lechenija jekzokrinnoj pankreaticheskoj nedostatochnosti. Gastroenterolog\u0456ja.2014;1(51):49-54. Russian. Available from: http:\/\/www.gastro.org.ua.<\/li>\n
            3. Fadeenko GD, Solomenceva TA. Zamestitel’naja terapija vneshnesekretornoj nedostatochnosti podzheludochnoj zhelezy: sovremennye podhody. Suchasna gastroenterolog\u0456ja. 2017;1 (93):53-59. Russian.<\/li>\n
            4. Harchenko NV. Sovremennye tendencii v lechenii zabolevanij podzheludochnoj zhelezy s vneshnesekretornoj nedostatochnost’ju. Zdorov’ja Ukra\u0457ni. 2014;19 (272):32-39. Russian.<\/li>\n
            5. De Lisi S, Leandro G, Buscarini E. Endoscopic ultrasonography versus endoscopic retrograde cholangiopancreatography in acute biliary pancreatitis. European Journal of Gastroenterology & Hepatology. 2011;23(5):367-374. http:\/\/dx.doi.org\/10.1097\/meg.0b013e3283460129<\/li>\n<\/ol>\n
                \n
              1. de-Madaria E, Abad-Gonz\u00e1lez \u00c1, Aparicio JR, Aparisi L, Boadas J, Boix E, de Las Heras G, Dom\u00ednguez-Mu\u00f1oz E, Farr\u00e9 A, Fern\u00e1ndez-Cruz L, G\u00f3mez L, Iglesias-Garc\u00eda J, Garc\u00eda-Malpartida K, Guarner L, Lari\u00f1o-Noia J, Llu\u00eds F, L\u00f3pez A, Molero X, Moreno-P\u00e9rez \u00d3, Navarro S, Palaz\u00f3n JM, P\u00e9rez-Mateo M, Sabater L, Sastre Y, Vaquero EC, Mart\u00ednez J; Club Espa\u00f1ol Pancre\u00e1tico. Recomendaciones del Club Espa\u00f1ol Pancre\u00e1tico para el diagn\u00f3stico y tratamiento de la pancreatitis cr\u00f3nica: parte 2 (tratamiento) [Recommendations of the Spanish Pancreatic Club on the diagnosis and treatment of chronic pancreatitis: part 2 (treatment)]. Gastroenterol Hepatol. 2013 Jun-Jul;36(6):422-36. Spanish. doi: 10.1016\/j.gastrohep.2012.12.003. Epub 2013 Apr 30. PMID: 23639273.<\/li>\n<\/ol>\n
                  \n
                1. Dom\u00ednguez-Mu\u00f1oz J, Iglesias-Garc\u00eda J, Vilari\u00f1o-Insua M, Iglesias-Rey M. 13C-Mixed Triglyceride Breath Test to Assess Oral Enzyme Substitution Therapy in Patients With Chronic Pancreatitis. Clinical Gastroenterology and Hepatology. 2007;5(4):484-488. http:\/\/dx.doi.org\/10.1016\/j.cgh.2007.01.004<\/li>\n<\/ol>\n
                    \n
                  1. Cavdar F, Yildar M, Tellio\u011flu G, Kara M, Tilki M, Titiz M. Controversial issues in biliary pancreatitis: When should we perform MRCP and ERCP? Pancreatology. 2014;14(5):411-414. http:\/\/dx.doi.org\/10.1016\/j.pan.2014.08.002<\/li>\n<\/ol>\n
                      \n
                    1. Frei G, Frei V, Thirlby R, McClelland R. Biliary pancreatitis: Clinical presentation and surgical management. The American Journal of Surgery. 1986;151(1):170-175. http:\/\/dx.doi.org\/10.1016\/0002-9610(86)90028-0<\/li>\n<\/ol>\n
                        \n
                      1. Frossard J, Hadengue A, Amouyal G, Choury A, Marty O, Giostra E, Sivignon F, Sosa L, Amouyal P. Choledocholithiasis: a prospective study of spontaneous common bile duct stone migration. Gastrointestinal Endoscopy. 2000;51(2):175-179. http:\/\/dx.doi.org\/10.1016\/s0016-5107(00)70414-7<\/li>\n<\/ol>\n
                          \n
                        1. Varghese J, Farrell M, Courtney G, Osborne H, Murray F, Lee M. Role of MR cholangiopancreatography in patients with failed or inadequate ERCP. American Journal of Roentgenology. 1999;173(6):1527-1533. http:\/\/dx.doi.org\/10.2214\/ajr.173.6.10584796<\/li>\n<\/ol>\n
                            \n
                          1. Forsmark C. Management of Chronic Pancreatitis. Gastroenterology. 2013;144(6):1282-1291.e3. http:\/\/dx.doi.org\/10.1053\/j.gastro.2013.02.008<\/li>\n<\/ol>\n
                              \n
                            1. Kamisawa T, Egawa N, Nakajima H. Autoimmune pancreatitis is a systemic autoimmune disease. The American Journal of Gastroenterology. 2003;98(12):2811-2812. http:\/\/dx.doi.org\/10.1111\/j.1572-0241.2003.08758.x<\/li>\n<\/ol>\n
                                \n
                              1. Kloppel G. Pathology of acute and cronic pancreatitis. Pancreas. 2016;8:659-670. https:\/\/doi.org\/10.1097\/00006676-199311000-00001<\/li>\n<\/ol>\n
                                  \n
                                1. van Geenen EJ, van Santvoort HC, Besselink MG, van der Peet DL, van Erpecum KJ, Fockens P, Mulder CJ, Bruno MJ. Lack of consensus on the role of endoscopic retrograde cholangiography in acute biliary pancreatitis in published meta-analyses and guidelines: a systematic review. Pancreas. 2013 Jul;42(5):774-80. doi: 10.1097\/MPA.0b013e318287d208. PMID: 23774699.<\/li>\n<\/ol>\n
                                    \n
                                  1. Safdi PK, Bekal S. The effect of oral pancreatic enzymes (Creon 10 capsule) on steatorrhea: a multicenter, placebo-controlled, Parallel group trial in subjest with chronic pancreatitis. Dig. Dis. Sci. 2019;26:1543-1549<\/li>\n
                                  2. Stevens T, Parsi MA. Endoscopic ultrasound for the diagnosis of chronic pancreatitis. World J Gastroenterol. 2010 Jun 21;16(23):2841-50. doi: 10.3748\/wjg.v16.i23.2841. PMID: 20556829; PMCID: PMC2887579.<\/li>\n<\/ol>\n
                                      \n
                                    1. Tse F, Yuan Y. Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis. Cochrane Database Syst Rev. 2012 May 16;(5):CD009779. doi: 10.1002\/14651858.CD009779.pub2. PMID: 22592743.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                                      Prof. T.D. Zvyagintseva, as. Ya. K. Gamanenko. Kharkiv Medical Academy of Postgraduate Education Biliary pathology is the most common cause of the development of acute and exacerbation of chronic pancreatitis. A feature of biliary pancreatitis, which distinguishes it from other forms of pancreatitis, is the combination of exocrine pancreatic insufficiency with chronic biliary insufficiency, which…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,52],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/1965"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=1965"}],"version-history":[{"count":9,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/1965\/revisions"}],"predecessor-version":[{"id":2059,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/1965\/revisions\/2059"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=1965"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=1965"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=1965"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}