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2020, vol. 59, br. 3, str. 41-47
Akutni pankreatitis u trudnoći - od etiopatogeneze do terapije
Univerzitet u Nišu, Medicinski fakultet + Klinički centar Niš, Klinika za gastroenterologiju i hepatologiju

e-adresasnezana.tesic.rajkovic@medfak.ni.ac.rs
Sažetak
Akutni pankreatitis (AP) u trudnoći je relativno retka bolest, ali istovremeno i veliki izazov za lekara, jer predstavlja potencijalnu pretnju po majku i plod. Pojava ove ozbiljne bolesti zahteva multidisciplinarni pristup u dijagnostici i lečenju, uz učešće ginekologa, gastroenterologa i hirurga. AP je učestaliji u trećem tromesečju i postpartalnom periodu. Trudnoća se dugo smatrala potencijalnim uzrokom akutnog pankreatitisa. Međutim, novija istraživanja ukazala su na prisustvo drugih etioloških faktora, kao što su kamenci ili hiperlipidemija, čime se objašnjava veća učestalost ove bolesti kod trudnica. Dijagnoza akutnog pankreatitisa u trudnoći može biti izazov za kliničara, jer kliničke manifestacije mogu nalikovati različitim komplikacijama u trudnoći, poput hiperemeze gravidarum, odvajanja posteljice ili rupture vanmaterične trudnoće. Strategija lečenja uključuje procenu rizika za majku i fetus. Tokom teškog AP, kada postoji insuficijencija jednog ili više organa, može biti potreban hitan porođaj. Ne postoje standardizovane preporuke za porođaj žena sa AP u trećem tromesečju, kako bi se umanjili morbiditet i smrtnost majki i novorođenčadi. Za formuliranje preporuka za dijagnozu, praćenje kliničkog toka bolesti i lečenja AP kod trudnica, potrebne su iscrpnije kliničke studije.
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O članku

jezik rada: engleski
vrsta rada: pregledni članak
DOI: 10.5633/amm.2020.0306
objavljen u SCIndeksu: 25.12.2020.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

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