Results of 300 pancreatic duct stenting in acute pancreatitis

Dibirov M.D.; Khachatryan N.N.; Erin S.A.; Domarev L.V.; Kosachenko M.V.; Kondratev Ya.V.

doi:https://doi.org/10.17116/hirurgia202011186

Dibirov M.D.

A.I. Evdokimov Moscow State University of Medicine and Dentistry;
The city clinical hospital named after S.I. Spasokukotsky

Khachatryan N.N.

A.I. Evdokimov Moscow State University of Medicine and Dentistry;
The city clinical hospital named after S.I. Spasokukotsky

Erin S.A.

The city clinical hospital named after S.I. Spasokukotsky

Domarev L.V.

The city clinical hospital named after S.I. Spasokukotsky

Kosachenko M.V.

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Kondratev Ya.V.

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Results of 300 pancreatic duct stenting in acute pancreatitis

Authors:

Dibirov M.D., Khachatryan N.N., Erin S.A., Domarev L.V., Kosachenko M.V., Kondratev Ya.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(11): 86‑92

DOI: 10.17116/hirurgia202011186

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To cite this article:

Dibirov MD, Khachatryan NN, Erin SA, Domarev LV, Kosachenko MV, Kondratev YaV. Results of 300 pancreatic duct stenting in acute pancreatitis. Pirogov Russian Journal of Surgery. 2020;(11):86‑92. (In Russ.)
https://doi.org/10.17116/hirurgia202011186

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the results of pancreatic duct stenting in moderate and severe forms of pancreatitis.

MATERIAL AND METHODS

Pancreatic duct stenting in 300 patients with acute pancreatitis was analyzed. Examination and treatment were carried out in accordance with national clinical guidelines for acute pancreatitis (2015).

RESULTS

Pancreatic duct stenting was performed in 300 patients with moderate and severe forms of pancreatitis (according to APACHE II) in the first 8—72 hours after the onset of the disease. Plastic stent sizes range from 4 to 7 cm in length and 5 to 7 Fr in diameter. Infection with pancreonecrosis occurred in 22 (7.3%) of 300 patients in the main group, and 20% of 150 patients in the control group. Mortality was 16 (5.3%) in the main group, and 24 (16%) — in the control group.

CONCLUSIONS

Pancreatic stenting reduced infection by 3, 2 times, and mortality by 4 times. The dosage of Octreotide was personalized depending on the severity of the disease according to APACHE II.

Keywords:

pancreonecrosis

pancreatic duct stenting

infection

mortality

national clinical guidelines

Authors:

Dibirov M.D.

A.I. Evdokimov Moscow State University of Medicine and Dentistry;
The city clinical hospital named after S.I. Spasokukotsky

Khachatryan N.N.

A.I. Evdokimov Moscow State University of Medicine and Dentistry;
The city clinical hospital named after S.I. Spasokukotsky

Erin S.A.

The city clinical hospital named after S.I. Spasokukotsky

Domarev L.V.

The city clinical hospital named after S.I. Spasokukotsky

Kosachenko M.V.

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Kondratev Ya.V.

A.I. Evdokimov Moscow State University of Medicine and Dentistry

Received:

16.09.2020

Accepted:

10.10.2020

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