Surgical strategy for acute biliary pancreatitis

Glabay V.P.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Cridnev O.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Bashankaev B.N.

European Medical Centre. Moscow, Russia

ORCID: 0000-0003-2397-6578

Bykov A.N.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Krylov A.V.

Konchalovsky Municipal Clinical Hospital, Moscow, Russia

Kaprin I.A.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Eldarova Z.E.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia Moscow, Russia

Variasova A.A.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia Moscow, Russia

Surgical strategy for acute biliary pancreatitis

Authors:

Glabay V.P., Cridnev O.V., Bashankaev B.N., Bykov A.N., Krylov A.V., Kaprin I.A., Eldarova Z.E., Variasova A.A.

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Journal: Pirogov Russian Journal of Surgery. 2019;(11): 37‑41

DOI: 10.17116/hirurgia201911137

Downloaded: 154

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To cite this article:

Glabay VP, Cridnev OV, Bashankaev BN, et al. . Surgical strategy for acute biliary pancreatitis. Pirogov Russian Journal of Surgery. 2019;(11):37‑41. (In Russ.)
https://doi.org/10.17116/hirurgia201911137

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Objective — to develop a rational surgical strategy for acute biliary pancreatitis and its complications. Material and methods. A 10-year follow-up enrolled 378 patients with acute biliary pancreatitis. Mild pancreatitis was diagnosed in 304 (80%) patients, moderate and severe course — in 74 (20%). Almost all patients with mild acute biliary pancreatitis underwent surgery within 3—7 days after the attack resolution. Patients with severe biliary pancreatitis had general and local complications that required differentiated treatment strategy. Conclusion. Strangulation of the calculus in the major duodenal papilla requires emergency endoscopic papillosphincterotomy. Choledocholithiasis, cholangitis and obstructive jaundice in acute biliary pancreatitis are indications for endoscopic papillosphincterotomy. Cholecystectomy should be performed after resolution of inflammatory changes in the gallbladder and pancreas in patients with severe biliary pancreatitis.

Keywords:

cholelithiasis

microlithiasis

acute biliary pancreatitis

endoscopic papillosphincterotomy

pancreatic collections

infected pancreatic necrosis

Authors:

Glabay V.P.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Cridnev O.V.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Bashankaev B.N.

European Medical Centre. Moscow, Russia

ORCID: 0000-0003-2397-6578

Bykov A.N.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Krylov A.V.

Konchalovsky Municipal Clinical Hospital, Moscow, Russia

Kaprin I.A.

Chair of Surgery of Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Moscow, Russia, City Clinical Hospital No. 3, Moscow, Russia

Eldarova Z.E.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia Moscow, Russia

Variasova A.A.

Sechenov First Moscow State Medical University of the Ministry of Health of the Russia Moscow, Russia

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