TREATMENT STRATEGY FOR FULMINANT ACUTE PANCREATITIS AFTER ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY
The incidence of complications after endoscopic retrograde cholangiopancreatography (ERCP) is reported to be 1% to 15% [4]. Acute post-intervention pancreatitis is a serious complication after endoscopic transpapillary procedures; it is characterized by rapid progression and high mortality rates [8]...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Private institution educational organization of higher education "Medical University "ReaViz"
2020-11-01
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| Series: | Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье |
| Subjects: | |
| Online Access: | https://vestnik.reaviz.ru/jour/article/view/14 |
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| Summary: | The incidence of complications after endoscopic retrograde cholangiopancreatography (ERCP) is reported to be 1% to 15% [4]. Acute post-intervention pancreatitis is a serious complication after endoscopic transpapillary procedures; it is characterized by rapid progression and high mortality rates [8]. In up to 15% of patients, severe acute post-intervention pancreatitis is accompanied by pancreatic necrosis and multiple organ failure [4]. The death rate in sterile pancreatic necrosis varies between 15% and 30%, whereas in infective pancreatic necrosis, the death rate reaches 85% [3, 9]. Intraductal pancreatic hypertension has a crucial importance in the pathogenesis of acute pancreatitis; therefore, early and adequate decompression minimizes the risk of severe parapancreatic complications [1]. Preventive stenting of the main pancreatic duct (MPD) significantly reduced the risk of this complication. However, there is still no consensus on the effectiveness of this preventive measure [7]. The accumulation of collective experience will allow us to develop a unified strategy for patients at risk of acute post-intervention pancreatitis. |
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| ISSN: | 2226-762X 2782-1579 |