PROBLEMS OF MODERN DIAGNOSIS OF ACUTE PANCREATITIS (REVIEW)

Maltsev Vladislav Olegovich, Yashnov Alexey Alexandrovich, Konovalova Olga Gennadievna, Yumtsunova Chimitzeren, Chereshneva Olga Ivanovna, Vdovina Marina Georgievna

Acute pancreatitis ranks third among all acute surgical pathology, behind acute appendicitis and cholecystitis. The frequency of occurrence in women is 46.4% and 53.6% in men. Moreover, the incidence of acute pancreatitis does not tend to decrease, on the contrary, the number of patients is steadily increasing. So, if in Russia in the 80s this pathology accounted for 12.5% in the structure of acute surgical pathology, then over the past two decades the incidence of acute pancreatitis has increased by 2 times. This article provides an overview of available laboratory and instrumental studies used in acute pancreatitis. The advantages and disadvantages of diagnostic studies are disclosed, as well as their sensitivity and specificity in this pathology are indicated. Considering that so far there are no specific markers that allow predicting the severity of acute pancreatitis and the level of laboratory and instrumental studies differs in each medical organization, there is a problem of finding new low-cost and highly effective methods of diagnosing acute pancreatitis, which will allow timely diagnosis and determine the tactics of patient management.

Keywords:acute pancreatitis, diagnosis, surgery, prognosis, research methods.