Endoscopic methods for drainage of fluid formations of the pancreas

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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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作者简介

S. 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

俄罗斯联邦, St. Petersburg

M. 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

俄罗斯联邦, St. Petersburg

D. 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

俄罗斯联邦, St. Petersburg

A. 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

俄罗斯联邦, St. Petersburg

A. Popov

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

编辑信件的主要联系方式.
Email: vmeda-na@mil.ru

майор медицинской службы

俄罗斯联邦, St. Petersburg

A. 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

俄罗斯联邦, St. Petersburg

A. Kerimova

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

Email: vmeda-na@mil.ru
俄罗斯联邦, St. Petersburg

参考

  1. Лазуткин М.В., Ивануса С.Я., Шершень Д.П., Попов А.А. Современные дренирующие вмешательства в хирургическом лечении кист поджелудочной железы // Изв. Рос. воен.-мед. акад. – 2020. – Т. 39, № 3. – С. 82–85.
  2. Basha J., Lakhtakia S., Nabi Z. Impact of disconnected pancreatic duct on recurrence of fluid collections and new-onset diabetes: do we finally have an answer? // Gut. – 2021. – Vol. 70, N 3. – P. 447–449. doi: 10.1136/gutjnl-2020-321773
  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
  4. Law R., Baron T.H. Endoscopic Drainage of Pancreatic Pseudocysts, Abscesses, and Walled-Off (Organized) Necrosis [Internet] Third Edit. Ercp. Elsevier Inc. 2019:525–537.e2. Available from: https://doi.org/ [Google Scholar]
  5. Pereira F., Caldeira A., Leite S. et al. GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections // GE Port. J. Gastroenterol. – 2020. – Vol. 28, N 1. – P. 39–51. doi: 10.1159/000509193
  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.

补充文件

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1. JATS XML
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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版权所有 © Ivanusa S.Y., Lazutkin M.V., Shershen D.P., Eliseev A.V., Popov A.A., Chebotar A.V., Kerimova A.G., 2024



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