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Experience of biospecific hemosorbtion by using «Hemoproteazosorb» sorbent in patients with acute pancreatitis

https://doi.org/10.51523/2708-6011.2024-21-4-16

Abstract

Objective. To provide a clinical assessment of the effectiveness of biospecific hemosorption using the sorbent “Hemoproteazosorb” in patients with severe acute pancreatitis; to substantiate the importance of this method in a comprehensive approach to the treatment of the disease.

Materials and methods. The analyses of clinical cases of 61 patients with acute pancreatitis over 2023, whose therapy was supplemented with biospecific hemosorption and other methods of extracorporeal detoxification, was conducted. Clinical aspects of the disease, the results of laboratory and instrumental research methods, as well as the survival, mortality indices and subsequent development of complications were compared.

Results. The analyses of obtained data demonstrated efficacy of the sorbtion method in initial stages of the disease treatment, patients’ survival growth and time shortening of stay in the anesthesiology, resuscitation and intensive care department, and a decrease in the percentage of development of purulent-septic complications in future.

Conclusion. Biospecific hemosorbtion with the sorbent «Hemoproteazosorb» in acute pancreatitis as a part of a comprehensive treatment approach has proven to be an effective therapy method that significantly improves patients’ chances of a favorable outcome.

About the Authors

H. A. Shautsova
Gomel City Clinical Emergency Hospital
Belarus

Halina A. Shautsova, Anesthesiologist-Resuscitator at the Department of Extracorporeal Methods of Detoxification and Hyperbaric Oxygenation

Gomel



A. A. Shypulia
Gomel City Clinical Emergency Hospital
Belarus

Aliaksandr A. Shypulia, Board Certified AnesthesiologistResuscitator at the Department of Extracorporeal Methods of Detoxification and Hyperbaric Oxygenation

Gomel



A. V. Denisenko
Gomel City Clinical Emergency Hospital
Belarus

Andrei V. Denisenko, Anesthesiologist-Resuscitator at the Department of Extracorporeal Methods of Detoxification and Hyperbaric Oxygenation

Gomel



References

1. Blakhov NY, Bordakov VN, Patsai DI, Chumanevich OA, Mazanik AV. General characteristics of clinical observations of the acute pancreatitis. Military medicine. 2017;4(45):9-18. (In Russ.). https://rep.bsmu.by/handle/BSMU/17134

2. Kirkovsy VV, Kolesnikova IG, Lobacheva GA, Sedjolkina EL. Biospecific hemosorbents. The successes and problems. Emergency Medical Care. 2016;(2):16-19. [date of access 2024 June 18]. Available from: https://www.jnmp.ru/jour/article/view/271/328 (In Russ.).

3. Martov VYu. Severe pancreatitis as a resuscitation problem. Belarusian [Electronic resource]. [date of access 2024 June 18]. Available from: https://bsaer.org/tyazhelyy-pankreatit-kak-reanimacionn/ (In Russ.).

4. Artykbaev AZh, Ismailov JK, Zhumabekov AT, Ismailov EL. Plasmapheresis in patients with acute destructive pancreatitis complicated by abdominal sepsis. Newsletter of Kaznmu. 2020;(1):299-301. [date of access 2024 June 18]. Available from: http://rmebrk.kz/magazine/4336 (In Russ.).

5. Kaliev AA. Fatal cases analysis of patients with destructive forms of acute pancreatitis. Modern Problems of Science and Education. Surgery. 2013;(5). [date of access 2024 June 18]. Available from: https://science-education.ru/ru/article/view?id=10270 (In Russ.).

6. Ermolov AS, Blagovestnov DA, Rogal’ ML, Omel’yanovich DA. Long-term results of severe acute pancreatitis management. Surgery. 2016;(10):11-15. (In Russ.). DOI: https://doi.org/10.17116/hirurgia20161011-15

7. Marukhov AV, Khoroshilov SE, Zakharov MV, Nikulin AV, Chubchenko NV. Extracorporeal detoxification in complex treatment of severe acute pancreatitis. Russian Journal of Anesthesiology and Reanimatology. 2020;(5):23-29. (In Russ.). DOI: https://doi.org/10.17116/anaesthesiology202005123

8. Tomescu D, Popescu M, David C, Dima S. Clinical effects of hemoadsorption with CytoSorb® in patients with severe acute pancreatitis: A case series. Int J Artif Organs. 2019 Apr;42(4):190-193. DOI: https://doi.org/10.1177/0391398818823762

9. Rasch S, Sancak S, Erber J, Wießner J, Schulz D, Huberle C, et al. Influence of extracorporeal cytokine adsorption on hemodynamics in severe acute pancreatitis: Results of the matched cohort pancreatitis cytosorbents inflammatory cytokine removal (PACIFIC) study. Artif Organs. 2022;46(6):1019-1026. DOI: https://doi.org/10.1111/aor.14195

10. Rodman G.V., Shalaeva T.I., Aleksandrov M.I. Methods of extracorporeal detoxification in the treatment of patients with acute necrotic pancreatitis and DIC. Surgeon. 2020;(7-8):9-21 (In Russ.). DOI: https://doi.org/10.33920/med-15-2004-01

11. Khoroshilov SE, Nikulin AV, Marukhov AV. Use of Plasmapheresis in the Enzymatic Phase of Severe Acute Pancreatitis. General Reanimatology. 2013;9(6):53. (In Russ.). DOI: https://doi.org/10.15360/1813-9779-2013-6-53

12. Clinical application of extracorporeal treatment methods. Kalinin N.N., ed. M.: Trekpor Tekhnolodzhi. 2009. [date of access 2024 June 18]. Available from: http://www.trackpore.ru/media/books/Kalinin%20eml.pdf (In Russ).

13. Ismailov EL, Eralina SN, Tekesbaev BB, Abdrasulov RB. Extracorporeal Detoxification Methods in the Treatment of Destructive Pancreatitis. General Reanimatology. 2015;11(3):65-74. (In Russ). DOI: https://doi.org/10.15360/1813-9779-2015-3-65-74

14. Kuznetsov NA, Rodoman GV, Laberko LA, Brontvein AT, Korotaev AL, Shalaeva TI, Shaposhnikov MV. Extracorporeal detoxication in patients with destructive pancreatitis. Pirogov Russian Journal of Surgery. 2005;(11):32-36. [date of access 2024 June 18]. Available from: https://rezerv-group.ru/d/89188/d/ekstrakorporal%D1%8Cnaya_detoksikaciya_u_bol%D1%8Cnyh_destruktivnym_pankreatitom.pdf

15. Masolitin SV, Protsenko DN, Tyurin IN, Kim TG, Magomedov MA, Grishina LA, et al. Evaluation of the use of combined extracorporeal detoxification in patients with severe acute pancreatitis: a retrospective cohort study. Annals of Critical Care.2023;(3):108-121. DOI: https://doi.org/10.21320/1818-474X-2023-3-108-121


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For citations:


Shautsova H.A., Shypulia A.A., Denisenko A.V. Experience of biospecific hemosorbtion by using «Hemoproteazosorb» sorbent in patients with acute pancreatitis. Health and Ecology Issues. 2024;21(4):149-155. (In Russ.) https://doi.org/10.51523/2708-6011.2024-21-4-16

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)