APPLICATION OF MINIMALLY INVASIVE ENDOSCOPIC INTERVENTIONS IN PATIENTS WITH PANCREANECROSIS

Abstract

Summary. Improvements in the methods of diagnosis and pathogenetic complex treatment of pancreatic necrosis in recent years have made it possible to significantly improve the results of treatment, while the issues of diagnosis, indications and treatment tactics of severe, common forms of pancreatic necrosis and its post-necrotic complications still remain far from a final solution . 30 patients with pancreatic necrosis were observed. All patients were comparable in terms of age, sex, and etiology. Sixteen patients of the main study group (53 %) underwent various endoscopic interventions on the bile ducts and the main pancreatic duct; 14 patients of the comparison group (47 %) underwent traditional surgical methods of treatment (drainage of the omental sac, drainage of extraperitoneal tissue and staged relaparotomy). The results of treatment of patients with pancreatic necrosis using endoscopic methods of decompression of the pancreatic ducts depends on the nature of the pancreatic lesion and the time of onset of the disease.