Improvement of acute destructive pancreatitis management

Malkov I.S.; Zainutdinov A.M.; Khamzin I.I.; Makarov D.V.; Khalilov Kh.M.; Gubaev R.F.

doi:https://doi.org/10.17116/hirurgia202104134

Malkov I.S.

Kazan State Medical Academy — branch of the Russian Medical Academy for Continuing Professional Education;
Kazan City Hospital No. 7

Zainutdinov A.M.

Kazan State Medical Academy — branch of the Russian Medical Academy for Continuing Professional Education

Khamzin I.I.

Kazan City Hospital No. 7

Makarov D.V.

Kazan City Hospital No. 7

Khalilov Kh.M.

Kazan City Hospital No. 7

Gubaev R.F.

Kazan City Hospital No. 7

Improvement of acute destructive pancreatitis management

Authors:

Malkov I.S., Zainutdinov A.M., Khamzin I.I., Makarov D.V., Khalilov Kh.M., Gubaev R.F.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(4): 34‑38

DOI: 10.17116/hirurgia202104134

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To cite this article:

Malkov IS, Zainutdinov AM, Khamzin II, Makarov DV, Khalilov KhM, Gubaev RF. Improvement of acute destructive pancreatitis management. Pirogov Russian Journal of Surgery. 2021;(4):34‑38. (In Russ.)
https://doi.org/10.17116/hirurgia202104134

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

Использование инфографики авторами научных работ

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OBJECTIVE

To reduce the incidence of complications in acute destructive pancreatitis via stenting of the main pancreatic duct in complex treatment of these patients.

MATERIAL AND METHODS

There were 182 patients aged 31-76 (mean 42.8±11) years with acute destructive pancreatitis. All patients admitted to the 1^st and the 2^nd surgical departments of the Kazan City Hospital No. 7 for the period from 2017 to 2019. There were 78 (43%) men and 104 (57%) women. Two groups of patients were distinguished in order to compare the effectiveness of stenting of the main pancreatic duct in acute pancreatitis: main group (34 patients including 14 men and 20 women) — stenting of the main pancreatic duct, control group (50 patients including 20 men and 30 women) without stenting.

RESULTS

Complex diagnosis and treatment of acute pancreatitis in intensive care unit with percutaneous drainage of fluid accumulations under ultrasound control and stenting of the main pancreatic duct reduce postoperative mortality from 16% in the control group (n=50) to 9.2% in the main group (n=34). Moreover, this approach is valuable to localize the foci of pancreatic necrosis in 79% of cases. the An efficiency of endoscopic decompression of the main pancreatic duct was 42% in patients with alcoholic pancreatitis.

CONCLUSION

Endoscopic stenting of the main pancreatic duct is effective for pathogenetic treatment of patients with biliary pancreatitis, aimed at reducing intraductal hypertension in the early stages of disease.

Keywords:

pancreatitis

stenting

duct

Authors:

Malkov I.S.

Kazan State Medical Academy — branch of the Russian Medical Academy for Continuing Professional Education;
Kazan City Hospital No. 7

Zainutdinov A.M.

Kazan State Medical Academy — branch of the Russian Medical Academy for Continuing Professional Education

Khamzin I.I.

Kazan City Hospital No. 7

Makarov D.V.

Kazan City Hospital No. 7

Khalilov Kh.M.

Kazan City Hospital No. 7

Gubaev R.F.

Kazan City Hospital No. 7

Received:

19.04.2020

Accepted:

03.07.2020

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