Endoscopic methods for drainage of fluid formations of the pancreas

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Abstract

An analysis of the literature indicates that there is no consensus on the choice of the most effective and safe endoscopic method and timing of drainage of pancreatic fluid formations. The results of the clinical study demonstrate the advantages of endoscopic active transmural drainage of high-density fluid formations in clinical success and lower incidence of complications compared to endoscopic passive transmural drainage. A relationship was revealed between the density of delimited fluid accumulations, the method of endoscopic drainage, clinical effectiveness and the rate of complications. When assessing long-term results, the minimum terms for stent installation were determined. Endoscopic drainage methods can eliminate pancreatic hypertension, create conditions for restoring the integrity of the pancreatic duct, or the formation of a persistent internal pancreatic fistula.

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About the authors

S. Y. Ivanusa

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru

профессор, полковник медицинской службы

Russian Federation, St. Petersburg

M. V. Lazutkin

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru

доктор медицинских наук, полковник медицинской службы

Russian Federation, St. Petersburg

D. P. Shershen

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru

кандидат медицинских наук, полковник медицинской службы

Russian Federation, St. Petersburg

A. V. Eliseev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru

кандидат медицинских наук, подполковник медицинской службы

Russian Federation, St. Petersburg

A. A. Popov

he S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: vmeda-na@mil.ru

майор медицинской службы

Russian Federation, St. Petersburg

A. V. Chebotar

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru

кандидат медицинских наук, майор медицинской службы

Russian Federation, St. Petersburg

A. G. Kerimova

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vmeda-na@mil.ru
Russian Federation, St. Petersburg

References

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  3. Jagielski M., Smoczynski M., Szeliga J. et al. Various Endoscopic Techniques for Treatment of Consequences of Acute Necrotizing Pancreatitis: Practical Updates for the Endoscopist // J. of Clin. Med. – 2020. – Vol. 9, N 1. – P. 117. doi: 10.3390/jcm9010117
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  6. Tyberg A., Karia K., Gabr M. et al. Management of pancreatic fluid collections: A comprehensive review of the literature // World J. Gastroenterol. – 2016. – Vol. 22, N 7. – P. 2256–2270.

Supplementary files

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2. Fig. 4. Determination of the threshold density (HU) value for performing active drainage

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3. Fig. 5. Algorithm for determining the method of endoscopic transmural drainage

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Copyright (c) 2024 Ivanusa S.Y., Lazutkin M.V., Shershen D.P., Eliseev A.V., Popov A.A., Chebotar A.V., Kerimova A.G.



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