UDK: 613.3-072.1-06
A. G. Beburishvili, E. N. Zubina, M. I. Turovets, V. V. Mandrikov, Yu. I. Vedenin
Волгоградский государственный медицинский университет, клиника факультетской хирургии ВолгГМУ, лаборатория хирургической гепатологии ВМНЦ
Introduction: Many researchers point out the most common complication of endoscopic transpapillary interventions (ETI) is acute pancreatitis. It is necessary to assess the risk of its development in patients to apply the most effective methods of preventing this complication (stenting the main pancreatic duct and thoracic epidural anesthesia). Materials and methods: The present cohort study included all patients (n = 783) who underwent ETI in the period from January 2008 to December 2014. Results: On the basis of mathematical processing of the incidence rate of acute pancreatitis depending on demographics,severity of comorbidity, the nature of the disease, baseline serum amylase and bilirubin of blood in patients we worked out two ways to identify patients at high risk for this complication. Conclusion: The use of the proposed forecasting methods will not only significantly reduce the risk of developing severe complications, but will also help to expand the indications for endoscopic correction of bile hypertension syndrome in patients with diseases of hepatopancreatobiliary zone.
endoscopic transpapillary intervention, predicting the risk of acute pancreatitis, stenting the main pancreatic duct, thoracic epidural anesthesia.
Туровец Михаил Иванович — к. м. н., ассистент кафедры анестезиологии и реаниматологии ФУВ, Волгоградский государственный медицинский университет, анестезиолог-реаниматолог Клиники № 1 ВолгГМУ, e-mail: turovets_aro@mail.ru