COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT)
The article contains a clinical description of the case of combination of such two opposite states as obesity and malnutrition in a patient with chronic pancreatitis. The patient was hospitalized with exacerbation of chronic pancreatitis and alcohol abuse. The examination revealed exocrine pancreati...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
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SINAPS LLC
2018-12-01
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| Series: | Архивъ внутренней медицины |
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| Online Access: | https://www.medarhive.ru/jour/article/view/858 |
| _version_ | 1797883758056046592 |
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| author | N. S. Gavrilina L. Yu. Ilchenko I. G. Fedorov I. G. Nikitin |
| author_facet | N. S. Gavrilina L. Yu. Ilchenko I. G. Fedorov I. G. Nikitin |
| author_sort | N. S. Gavrilina |
| collection | DOAJ |
| description | The article contains a clinical description of the case of combination of such two opposite states as obesity and malnutrition in a patient with chronic pancreatitis. The patient was hospitalized with exacerbation of chronic pancreatitis and alcohol abuse. The examination revealed exocrine pancreatic insufficiency and mild malnutrition. The patient was prescribed enzyme replacement therapy and additional oral sip feeding with a positive effect. After 10 weeks of exocrine pancreatic insufficiency were stopped, but malnutrition remained and required a longer course of treatment. The relevance of this problem, the main difficulties of diagnosis were presented in the article. All patients need to measure anthropometric parameters, BMI, lymphocytes, total protein, albumin. Using only BMI leads to hypodiagnosis of malnutrition in patients with chronic pancreatitis. |
| first_indexed | 2024-04-10T03:55:40Z |
| format | Article |
| id | doaj.art-16f753ea779d4f2eaa06e164f9d01aca |
| institution | Directory Open Access Journal |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| last_indexed | 2024-04-10T03:55:40Z |
| publishDate | 2018-12-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj.art-16f753ea779d4f2eaa06e164f9d01aca2023-03-13T07:12:09ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642018-12-018647547910.20514/2226-6704-2018-8-6-475-479712COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT)N. S. Gavrilina0L. Yu. Ilchenko1I. G. Fedorov2I. G. Nikitin3ГБУЗ «ГКБ им. В.М. Буянова» ДЗ г. Москвы; ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» МЗ РФФГБОУ ВО «РНИМУ им. Н.И. Пирогова» МЗ РФГБУЗ «ГКБ им. В.М. Буянова» ДЗ г. Москвы; ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» МЗ РФФГБОУ ВО «РНИМУ им. Н.И. Пирогова» МЗ РФ; ФГАУ «Лечебно-реабилитационный центр» Минздрава РФThe article contains a clinical description of the case of combination of such two opposite states as obesity and malnutrition in a patient with chronic pancreatitis. The patient was hospitalized with exacerbation of chronic pancreatitis and alcohol abuse. The examination revealed exocrine pancreatic insufficiency and mild malnutrition. The patient was prescribed enzyme replacement therapy and additional oral sip feeding with a positive effect. After 10 weeks of exocrine pancreatic insufficiency were stopped, but malnutrition remained and required a longer course of treatment. The relevance of this problem, the main difficulties of diagnosis were presented in the article. All patients need to measure anthropometric parameters, BMI, lymphocytes, total protein, albumin. Using only BMI leads to hypodiagnosis of malnutrition in patients with chronic pancreatitis.https://www.medarhive.ru/jour/article/view/858хронический панкреатитожирениетрофологическая недостаточностьимтлимфоцитыальбумин |
| spellingShingle | N. S. Gavrilina L. Yu. Ilchenko I. G. Fedorov I. G. Nikitin COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) Архивъ внутренней медицины хронический панкреатит ожирение трофологическая недостаточность имт лимфоциты альбумин |
| title | COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) |
| title_full | COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) |
| title_fullStr | COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) |
| title_full_unstemmed | COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) |
| title_short | COMBINATION OF O BESITY AND MALNUTRITION AT A PATIENT WITH CHRONIC ALCOHOLIC PANCREATITIS (CASE REPORT) |
| title_sort | combination of o besity and malnutrition at a patient with chronic alcoholic pancreatitis case report |
| topic | хронический панкреатит ожирение трофологическая недостаточность имт лимфоциты альбумин |
| url | https://www.medarhive.ru/jour/article/view/858 |
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