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Khripun A.I.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Alimov A.N.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Orlov S.Yu.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Chelyapina T.P.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Monakhov M.V.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Olenichev A.M.

Buyanov Clinical Hospital

Kudryavitskii E.E.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Efficacy and safety of pancreatic stenting in acute biliary pancreatitis

Authors:

Khripun A.I., Alimov A.N., Orlov S.Yu., Chelyapina T.P., Monakhov M.V., Olenichev A.M., Kudryavitskii E.E.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(8): 23‑29

DOI: 10.17116/hirurgia202508123

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Table of contents

EFFICACY AND SAFETY OF PANCREATIC STENTING IN ACUTE BILIARY PANCREATITIS
EFFICACY AND SAFETY OF PANCREATIC STENTING IN ACUTE BILIARY PANCREATITIS

To cite this article:

Khripun AI, Alimov AN, Orlov SYu, Chelyapina TP, Monakhov MV, Olenichev AM, Kudryavitskii EE. Efficacy and safety of pancreatic stenting in acute biliary pancreatitis. Pirogov Russian Journal of Surgery. 2025;(8):23‑29. (In Russ.)
https://doi.org/10.17116/hirurgia202508123

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 and safety of early pancreatic stenting in patients with acute biliary pancreatitis.

MATERIAL AND METHODS

We retrospectively analyzed the effect of early (within 48 hours after admission) pancreatic stenting on severity of disease, incidence of complications, mortality and hospital-stay in patients with severe acute biliary pancreatitis. Moreover, there were patients with acute biliary pancreatitis who underwent delayed endoscopic retrograde intervention and only conservative therapy.

RESULTS

Early pancreatic stenting reduced the risk of local (p=0.047) and systemic complications (p=0.027) compared to delayed intervention and conservative treatment. Early pancreatic stenting contributed to shorter hospital-stay when compared with delayed intervention (p=0.038). There was no between-group difference in mortality or severity of disease. Pancreatic stenting after 48 hours had no advantages over early stenting or conservative treatment, but significantly increased the risk of infected pancreatic necrosis (p=0.023).

CONCLUSION

Early pancreatic stenting seems to be safe and effective procedure in reducing the number of complications in patients with acute biliary pancreatitis. Neither early nor late pancreatic stenting has a significant effect on disease severity, mortality and hospital-stay.

Keywords:

pancreatic necrosis
pancreatic stenting
ERCP

Authors:

Khripun A.I.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Alimov A.N.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Orlov S.Yu.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Chelyapina T.P.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Monakhov M.V.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Olenichev A.M.

Buyanov Clinical Hospital

Kudryavitskii E.E.

Buyanov Clinical Hospital;
Pirogov Russian National Research Medical University

Received:

20.09.2024

Accepted:

28.10.2024

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