Indicators of volatile fatty acids for differential diagnostics of nfected of pancreatic necrosis complicated by retroperitoneal phlegmon

The aim of the study was to assess the informative value of volatile fatty acid parameters for the differential diagnosis of infected pancreatic necrosis (IPN), complicated by retroperitoneal cellulitis. The work was based on the results of examination and treatment of 44 patients with infected pancreatic necrosis. The analysis of concentrations of volatile fatty acids: acetic, propionic, butyric and isovalerianic was carried out on a Kristallux-4000 automated gas chromatograph with an HP-FFAP capillary column and a flame ionization detector. The indicators of acetic acid and the amount of volatile fatty acids were statistically significantly higher in patients with infected pancreatic necrosis with total retroperitoneal phlegmons in comparison with the indicators of volatile fatty acids in patients with infected pancreatic necrosis with paracolic phlegmons and in comparison with indicators of volatile fatty acids in patients with infected pancreatic necrosis phlegmons. The indicators of acetic acid and the amount of VFA can be used as additional criteria for the differential diagnosis of IPN complicated by phlegmons of the retroperitoneal tissue.

[Indicators of volatile fatty acids for differential diagnostics of nfected and sterile of pancreatic necrosis.]

The aim of the study was to assess the information content of volatile fatty acid parameters for the differential diagnosis of infected and sterile pancreatic necrosis. The work is based on the results of examination and treatment of 34 patients with pancreatic necrosis. The analysis of concentrations of volatile fatty acids: acetic, propionic, butyric and isovaleric was carried out on an automated gas chromatograph «Crystallux-4000» with a capillary column «HP-FFAP» and flame ionization detector. The indicators of acetic, propionic, butyric, isovaleric acid and the sum of volatile fatty acids are statistically significantly higher in patients with infected pancreatic necrosis compared with the indicators of volatile fatty acids in patients with sterile pancreatic necrosis. Volatile fatty acid values can be used for the differential diagnosis of infected and sterile pancreatic necrosis.

[The volatile fatty acids indicators in the differential diagnosis of purulent complications of pancreatic necrosis.]

The purpose of the study was to evaluate the informative value of volatile fatty acid (VFA) indicators for the differential diagnosis of infected pancreatic necrosis (IPN), complicated by retroperitoneal cellulose phlegmons and IPN, complicated by pancreatic abscesses. The work is based on the results of the examination and treatment of 52 patients with IPN, complicated by abscesses and phlegmon. The analysis of the concentrations of acetic, propionic, butyric and isovaleric acids were carried out on the gas chromatograph "Crystalllux-4000" with the capillary "HP-FFAP" column. Indicators of acetic, propionic, butyric acids and the amount of VFA were statistically significantly higher in patients with IPN, complicated by retroperitoneal cellulose phlegmons, compared with those of VFA in patients with IPN, complicated by pancreatic abscesses. Indicators of acetic acid and the amount of VFA were statistically significantly higher in patients with IPN, complicated by parapancreatic phlegmon, compared with those of VFA in patients with IPN, complicated by pancreatic abscesses. Indicators of acetic, propionic, butyric, isovaleric acid and the amount of VFA were statistically significantly higher in patients with IPN, complicated by paracolic phlegmon, compared with atients with IPN, complicated by pancreatic abscesses. Indicators of acetic, propionic, butyric acids and the amount of VFA were statistically significantly higher in patients with IPN, complicated by total retroperitoneal phlegmon, compared with patients with IPN, complicated by pancreatic abscesses. The values of VFA can be used as additional criteria for the differential diagnosis between IPN, complicated by retroperitoneal phlegmon and IPN, complicated by pancreatic abscess.