Abstract:

Aim. Was to analyze possibilities of CT diagnostics of patients with chronic diseases and cancer of pancreas.

Materials and methods. We have analyzed 42 patients with cancer of pancreas and chronic pancreatitis. 20 patients had verified cancer (10 male and 10 female aged 47-82 yrs) and 22 patients with chronic pancreatitis (16 male and 6 female aged 29-63 yrs). All the patients underwent CT for diagnosis specification, estimation of pancreas condition and stage of disease.

Results. Sarcopenia was detected in 14 patients (70%) with pancreas cancer (9 of 10 male, 5 of 10 female). There was no significant difference in postoperative complications. Complications were marked in 11 of 20 pts (55%), including 8 of 14 patients (57%) with sarcopenia. Postoperative morbidity marked in 3 cases sarcopenia was detected in 15 patients (68%) with chronic pancreatitis (13 of 16 male, 2 of 6 female). There was no postoperative morbidity or complications in this groups of patients.

Results. CT in good for standard diagnostics of pancreas diseases and can estimate sarcopenia degree. Due to obtained data the level of carcopenia in surgically treated patients with pancreas cancer and chronic pancreatitis reaches 70%. Application of CT gives new possibilities in diagnostics of metabolic disorders in patients with severe chronic pancreatitis and pancreas cancer.
 

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