Hepatology and Pancreatic Science

ISSN: 2573-4563

Open Access

Minimally-invasive methods of acute pancreatic post necrotic pseudocyst treatment


Nazar Omelchuk

Statement of the Problem: Acute necrotic pancreatitis (ANP) remains complicated problem of urgent surgery due to high frequency of systemic, purulent and septic complications, rate, which is in patients with infected pancreonecrosis 14.7-26.4%.Purpose: the aim of this study is to judge efficiency and establish indications for minimally invasive methods of treatment of post-necrotic pseudocyst of pancreas.Methodology & Theoretical Orientation: For diagnostics ultrasonography was used, diagnostic laparoscopy, helical CT with contrast strengthening. Endoscopic interventions were applied by.Findings: In 82 (68.2%) patients were applied minimally invasive methods of treatment; Percutaneous external drainage in 38 (46.3 %) patients, endoscopic transmural drainage of post-necrotic pseudocyst in 22 (26.85%) patients. Combined endoscopic interventions were applied in 22 (26.85%) patients. particularly, endoscopic transmural drainage with temporary stenting of epithelial duct in 11 (50%) patients, endobiliary stenting with temporary stenting of channel in 5 (22.7%) patients, temporary stenting of channel in 4 (18.2%) patients, endoscopic transmural drainage with percutaneous external drainage in 2 (9.1%) patient.Conclusion & Significance: Usage of combined minimally invasive methods of treatment of acute necrotic pancreatitis complicated by postnecrotic pseudocyst help to enhance results of treatment, reduction of complications amount, contraction of stationary treatment terms and improving of life quality. Most cases of acute pancreatitis are self-limited and resolve without serious complications. However, severe acute pancreatitis is related to the event of probably lifethreatening complications including pancreatic necrosis and pancreatic abscess


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