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Novikov S.V.

Sklifosovsky Research Institute for Emergency Care

Rogal M.L.

Sklifosovsky Research Institute for Emergency Care

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

Teterin Yu.S.

Sklifosovsky Research Institute for Emergency Care

Pancreatic duct stenting in acute severe pancreatitis

Authors:

Novikov S.V., Rogal M.L., Yartsev P.A., Teterin Yu.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2022;(6): 18‑26

DOI: 10.17116/hirurgia202206118

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Table of contents

PANCREATIC DUCT STENTING IN ACUTE SEVERE PANCREATITIS
PANCREATIC DUCT STENTING IN ACUTE SEVERE PANCREATITIS

To cite this article:

Novikov SV, Rogal ML, Yartsev PA, Teterin YuS. Pancreatic duct stenting in acute severe pancreatitis. Pirogov Russian Journal of Surgery. 2022;(6):18‑26. (In Russ.)
https://doi.org/10.17116/hirurgia202206118

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate the efficacy of endoscopic retrograde stenting of the pancreatic duct for acute severe pancreatitis.

MATERIAL AND METHODS

We analyzed 94 patients with acute severe pancreatitis who underwent surgery (n=87, 92.6%) and endoscopic retrograde pancreatic stenting (n=28, 29.8%). The first group included 15 patients (16%) after pancreatic duct stenting in aseptic phase of acute pancreatitis. The second group enrolled 13 patients (13.8%) who underwent pancreatic duct stenting in the phase of sequestration and infection. The third group consisted of 66 patients (70.2%) after open surgery without pancreatic duct stenting.

RESULTS

In the 1st group, we recanalized the necrosis zone up to distal pancreas via stenting. Infection was detected in 14 out of 15 patients. Surgical treatment was performed in 13 patients (13.8%). In the second group, pancreatic duct stenting was carried out in the phase of infected pancreatitis. We applied stenting to block the area of duct destruction or restore outflow in case of distal defect. No infection was observed in 1 out of 13 patients. Pancreatic duct stenting was not performed in 66 patients of the third group. Surgical treatment was performed in 59 patients (62.8%). In general, 11 of 94 patients (11.7%) were free from infection.

CONCLUSION

Better postoperative outcomes were observed in patients with damage to pancreatic duct, pancreatic drainage through percutaneous drains installed at the first stage of treatment. Early pancreatic duct stenting did not lead to significant improvement in treatment outcomes.

Keywords:

acute pancreatitis
pancreas
pancreatic duct
pancreatic duct stenting
percutaneous drainage

Authors:

Novikov S.V.

Sklifosovsky Research Institute for Emergency Care

Rogal M.L.

Sklifosovsky Research Institute for Emergency Care

Yartsev P.A.

Sklifosovsky Research Institute for Emergency Care

Teterin Yu.S.

Sklifosovsky Research Institute for Emergency Care

Received:

20.09.2021

Accepted:

22.10.2021

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References:

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