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Complex Application of Minimally Invasive Methods for the Treatment of Complicated Acute Severe Pancreatitis

https://doi.org/10.23934/2223-9022-2022-11-3-516-524

Abstract

Percutaneous interventions for the purpose of sanation of cavities of pancreatogenic destruction can be one of the ways to treat pancreatic necrosis. This leads to a rapid cleansing of the cavities and is an objective method of monitoring the stages of treatment. We present a case of successful treatment of infected pancreatic necrosis using minimally invasive, percutaneous, X-ray endovascular methods. Procedures performed: superselective embolization of the upper and lower pancreaticoduodenal arteries, embolization of the gastroduodenal artery, embolization of the splenic artery, selective catheterization and embolization of the left gastric artery with microemboli and coils.

About the Authors

M. L. Rogal
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Mikhail L. Rogal Doctor of Medical Sciences, Professor, Deputy Director for Science

129090, Moscow, B. Sukharevskaya Sq., 3



K. T. Agakhanova
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Ketevan T. Agakhanova Candidate of Medical Sciences, Surgeon of a Short Stay Hospital, Researcher at the Department of Emergency Surgery, Endoscopy and Intensive Care, Lecturer at the Educational and Clinical Center

129090, Moscow, B. Sukharevskaya Sq., 3



P. A. Yartsev
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Petr A. Yartsev Doctor of Medical Sciences, Professor, Head of the Scientific Department of Emergency Surgery, Endoscopy and Intensive Care

129090, Moscow, B. Sukharevskaya Sq., 3



L. S. Kokov
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Leonid S. Kokov Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Head of the Scientific Department of Emergency Cardiology and Cardiovascular Surgery

129090, Moscow, B. Sukharevskaya Sq., 3



R. S. Bayramov
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Ruslan Sh. Bairamov Surgeon, Head of the Surgical Department of Emergency Surgery, Endoscopy and Intensive Care

129090, Moscow, B. Sukharevskaya Sq., 3



K. R. Dzhagrayev
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Karen R. Dzhagrayev Candidate of Medical Sciences, Deputy Chief Physician for Surgery, Leading Researcher

129090, Moscow, B. Sukharevskaya Sq., 3



S. V. Novikov
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Sergey V. Novikov Candidate of Medical Sciences, Laureate of the Prize of the Government of the Russian Federation in the field of science and technology, Leading Researcher

129090, Moscow, B. Sukharevskaya Sq., 3



R. S. Muslimov
Department of Emergency Surgery, Endoscopy and Intensive Care N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation

Rustam Sh. Muslimov Candidate of Medical Sciences, Leading Researcher, Department of Diagnostic Radiology

129090, Moscow, B. Sukharevskaya Sq., 3



References

1. Ivshin VG, Ivshin MV, Malafeev IV, Yakunin AYu, Kremyansky MA, Romanova NN, et al. Innovative Instrumentation and Techniques for Pancreonecrosis and Diffuse Parapancreatitis Transcutaneous Management. Annals of HPB Surgery. 2014;19(1):30–39. (in Russ.).

2. Rogal’ ML, Novikov SV, Gyulasaryan SG, Kuz’min AM, Shlyakhovskiy IA, Bayramov RSh. Optimization of stages of minimally invasive percutaneous surgical treatment of acute pancreatitis. Al’manakh instituta khirurgii im. A.V. Vishnevskogo. 2015;(2): Abstracts of the XII Congress of Surgeons of Russia, (Rostov-on-Don, Oct 7–9, 2015):1161–1162. Available at: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/xii_tezis_full.pdf [Accessed Jul 04, 2022]

3. Kuleznyova YuV, Moroz OV, Izrailov RE, Smirnov EA, Egorov VP. Percutaneous Interventions for Necrotic Suppurative Complications of Pancreonecrosis. Annals of HPB Surgery. 2015;20(2):90–97. (in Russ.) https://doi.org/10.16931/1995-5464.2015290-97

4. Andreev AV, Ivshin VG, Goltsov VR. Minimally Invasive Interventions for Infected Pancreatic Necrosis. Annals of HPB Surgery. 2015;20(3):110–116. (in Russ.) https://doi.org/10.16931/1995-5464.20153110-116

5. Neledova LA, Mizgiriov DV, Duberman BL. Hemorrhagic complications of pancreatitis in surgical practice. Grekov’s Bulletin of Surgery. 2019;178(1):55–58. (in Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-55-58


Review

For citations:


Rogal M.L., Agakhanova K.T., Yartsev P.A., Kokov L.S., Bayramov R.S., Dzhagrayev K.R., Novikov S.V., Muslimov R.S. Complex Application of Minimally Invasive Methods for the Treatment of Complicated Acute Severe Pancreatitis. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(3):516-524. https://doi.org/10.23934/2223-9022-2022-11-3-516-524

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)