Take Care of Your Pancreas!

Depending on the phase acute pancreatitis (AP) has a polymorphic sonographic picture. Diagnostic accuracy of non-invasive ultrasonic tomography (UST) in verification of the stage of development of AP and character of its complications usually does not exceed 80 % that makes puncture biopsy necesssary.

The basic method to choose the zone to intake the material and make fine-needle biopsy is to reveal necrosis zones with the help of estimation of the blood flow in the pancreatic area in a regimen of color doppler mapping and make comparative estimation of the amount of doppler signals in the thickness of the pancreas and its surface. A 50 % decrease in number of doppler signals serves as a precise marker of necrosis and the destructive process in the pancreas.

Diagnostic fine-needle puncture biopsy (PB) with microbiological and cytologic examination of the aspirate is necessary with patients suspected of the destructive form of AP. Results of PB allow to use LIM under utrasonic guidance differentially and to choose the proper medical treatment in case of various forms of pancreatitis.

When diagnostic fine-needle puncture is used efficiency of the traditional ultrasonic investigation of various forms acute pancreatitis is increased.

Diagnostic efficiency of ultrasonic tomography (UST) with low-invasive manipulations (LIM) in differential diagnostics of various morphological forms of acute pancreatitis (AP) can be represented in the following table (one of the first examinations). LIM under ultrasonic guidance are specifying diagnostics, therefore, specificity is constant.

A combination of paracentetic treatments (diapeutic LIM) and drainage installation is the basis of the medical LIM in case of complicated acute pancreatitis. Manipulations are carried out in the certain sequence. There is a combination of aspirating needles and drainages of various diameter and type. As a matter of fact, frequency of a puncturation also changes. Medical programs are usually based on the results of organoleptic and analytical examination of the material.