Issue: 2010, Vol. 15, No. 4

Kubachev К.Г., Abdullaev Э.Г., Kachabekov М.С., Abdullaev А.Э.

POSSIBILIТIES OF ENDOSCOPIC TECНNOLOGIES IN TREATMENT FOR РАТIENTS WIТH ACUTE BILIARY PANCREAТIТIS

Keywords

acute biliary pancreatitis, endoscopic retrograde cholangiography, papillosphincterotomy

Abstarct

Criteria for laboratory and instrumental diagnosis of acute biliary pancreatitis and optimal terms for endoscopic intervention were determined in the article. Authors thoroughly described the techniques of endoscopic retrograde cholangiography in various anatomic conditions in the zone of major duodenal рарillа, common bile duct revision, lithoextraction and lithotripsy. The data obtained allowed to prove the safety of endoscopic manipulations and cholangiography in acute biliary pancreatitis. High efficacy of the suggested treatment tactics was shown in comparative analysis of these findings which included the signs of clinical manifestations regression and laboratory data improvement. In the particular it was managed to cut down the expenses for patients' treatment and to avoid pyonecrotic complications of acute pancreatitis. Lethal outcomes were not observed.