Abstract

In acute severe pancreatitis, the progression of pancreatic necrosis and the surrounding fatty tissue is based on an increase in pressure in the main pancreatic duct, and therefore. restoration of outflow from the preserved pancreas by endoscopic intraduodenal correction can be an effective prevention of the progression of the pathological process in the gland itself and its transition to parapancreatic fiber. We have developed and introduced into clinical practice a "long" plastic perforated pancreatic stent of variable diameter. The stenting of the main pancreatic duct was performed according to the classical technique after performing choledochal papillosphincterotomy and papillosphincterotomy of the main pancreatic duct. A comparative analysis of the treatment results of two homogeneous groups of patients with pancreatic necrosis (the main one, in which endoscopic intraduodenal transpupillary correction was performed - 39 and the control one, in which this technology was not used - 52) showed that endoscopic intraduodenal correction of the outflow of secretions through the main pancreatic duct, contributes to a decrease in mortality (23.1% to 8.5%) and a decrease in the frequency of local and general life-threatening complications (from 84.6% to 17.0%).

Keywords: Pancreatitis; Mortality; Pancreatic Duct

References

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Citation

Citation: Darvin Vladimir Vasilyevich., et al. “Use of Stents in Correction of Outflow Disorders from the Main Pancreatic Duct in Patients with Pancreonecrosis”. Acta Scientific Gastrointestinal Disorders 4.11 (2021): 22-26.

Copyright

Copyright: © 2021 Darvin Vladimir Vasilyevich., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.