CONTEMPORARY APPROACHES TO A COMPLEx TREATMENT OF BILIARY PANCREATONECROSIS
Abstract
ABSTRACT. The paper reviews the treatment outcomes of 176 patients with biliary pancreatonecrosis. The history of pancreatonecrosis was identified in 82% of patients; in the remaining 18%, pancreatonecrosis was diagnosed after acute pancreatitis manifestations. Cholecystolithiasis was revealed in 82% of patients, cholecysto-choledocholithiasis was in 16%, and choledocholithiasis in 2%. A piecemeal pancreatonecrosis was found in 58% of patients, a large-focal one in 22%, subtotal or total in 20%. The combination of minimally invasive procedures on the biliary tract in the pancreatico-duodenal zone with the efficient detoxification and hepatoprotective therapies allowed mortality reduction from 28% to 18%.
About the Authors
M. D. Dibirov
Department of surgical diseases and clinical angiology of MGMSU, Moscow
Russian Federation
Russian Federation
T. A. Ataev
Department of surgical diseases and clinical angiology of MGMSU, Moscow
Russian Federation
Russian Federation
V. N. Yushchuk
Department of surgical diseases and clinical angiology of MGMSU, Moscow
Russian Federation
Russian Federation
M. R. Khanokov
Department of surgical diseases and clinical angiology of MGMSU, Moscow
Russian Federation
Russian Federation
A. M. Magomedaliev
Department of surgical diseases and clinical angiology of MGMSU, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Dibirov M.D., Ataev T.A., Yushchuk V.N., Khanokov M.R., Magomedaliev A.M. CONTEMPORARY APPROACHES TO A COMPLEx TREATMENT OF BILIARY PANCREATONECROSIS. Russian Sklifosovsky Journal "Emergency Medical Care". 2014;(1):17-19. (In Russ.)
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