Endoscopic methods for drainage of fluid formations of the pancreas
- Authors: Ivanusa S.Y.1, Lazutkin M.V.1, Shershen D.P.1, Eliseev A.V.1, Popov A.A.2, Chebotar A.V.1, Kerimova A.G.1
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Affiliations:
- The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- he S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation
- Issue: Vol 345, No 10 (2024)
- Pages: 57-63
- Section: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/637033
- DOI: https://doi.org/10.52424/00269050_2024_345_10_57
- ID: 637033
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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. PetersburgM. 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. PetersburgD. 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. PetersburgA. 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. PetersburgA. 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. PetersburgA. 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. PetersburgA. 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
- 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.
- 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
- 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
- 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]
- 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
- 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.
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).