Experience in endoscopic transpapillary stent placement in patients with early phase of necrotizing pancreatitis
https://doi.org/10.17238/2072-3180-2022-4-90-96
Abstract
Introduction. This article is about the immediate clinical case of application the endoscopic stenting of the main pancreatic duct in a patient with acute destructive pancreatitis in the early phase of the disease. Frequent presence of signs of separation of the pancreatic duct system (diagnosed according to the instrumental methods of research), it was decided to use stenting of the main pancreatic duct with a plastic stent.
Discussion. Acute destructive pancreatitis remains an urgent surgical problem due to the persisting significant number of various complications and deaths, despite the progress made in the treatment of this group of patients. Currently, there is a tendency to appear in the publication articles about endoscopic stenting of the main pancreatic duct in the early phase of the disease in patients with signs of separation of the ductal system. In addition, cases of using combined techniques for the most effective treatment of this group of patients are described.
Conclusion. The use of endoscopic stenting of the main pancreatic duct is the best way to treat patients with acute destructive pancreatitis with signs of separation of the pancreatic duct system.
About the Authors
V. V. Bedin
Botkin City Clinical hospital of Department of Health of Moscow; Russian Medical Academy of Postgraduate Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
Bedin Vladimir Vladimirovich – MD, Professor of the Chair of
Surgery of Russian Medical Academy of Postgraduate Education of Healthcare Ministry of the Russian Federation, Vice Chief Doctor
125284, 2nd Botkin Passage, 5, Moscow
I. Yu. Korzheva
Botkin City Clinical hospital of Department of Health of Moscow; Russian Medical Academy of Postgraduate Education of Healthcare Ministry of the Russian Federation
Russian Federation
Russian Federation
Korzheva Irina Yurevna – MD, Professor, Head of the Chair of
Endoscopy of Russian Medical Academy of Postgraduate Education of Healthcare Ministry of the Russian Federation, Head of the Department of Endoscopy
125284, 2nd Botkin Passage, 5, Moscow
D. V. Shikov
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Shikov Dmitry Vladimirovich – Ph.D., Head of the Emergency
Operational Unit №45 and Operational Unit №58
125284, 2nd Botkin Passage, 5, Moscow
A. A. Kolotilshchikov
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Kolotilshchikov Andrey Aleksandrovich – PhD, Head of the
Emergency Surgery Unit №76
125284, 2nd Botkin Passage, 5, Moscow
E. A. Kalashnikova
Botkin City Clinical hospital of Department of Health of Moscow
Russian Federation
Russian Federation
Kalashnikova Elena Alekseevna – Surgeon of the Emergency
Surgery Unit №76
125284, 2nd Botkin Passage, 5, Moscow
References
1. Isaji S., Takada T., Mayumi T., Yoshida M., Wada K., Yokoe M., Gabata T. Revised Japanese guidelines for the management of acute pancreatitis 2015: Revised concepts and updated points. J. Hepatobiliary Pancreat. Sci., 2015, № 22 (6), рр. 433–445. https://doi.org/10.1002/jhbp.260.
2. Baron T.H., DiMaio C.J., Wang A.Y., Morgan K.A. American Gastroenterological Association clinical practice update: management of pancreatic necrosis. Gastroenterology, 2020, № 158 (1), pp. 67–75. https://doi.org/10.1053/j.gastro.201907.064.
3. Dyuzheva T.G., Shefer A.V., Dzhus E.V., Novoselova E.V., Kotovsky A.E., Galperin E.I. The role of the configuration of pancreonecrosis in a differentiated approach to the treatment of patients with acute pancreatitis. Materials of the plenary of the Association of hepatopancreatobiliary surgeons of the CIS countries, 2015, pp. 49–51. (In Russ.).
4. Shabunin A.V., Arablinskii A.V., Lukin A.Y. Pancreonecrosis. Diagnosis and treatment. М.: GEOTARMedia, 2014, 89 p. (In Russ.).
5. Maatman T.K., Roch A.M., Lewellen K.A., Heimberger M.A., Ceppa E.P., House M.G., Nakeeb A., Schmidt C.M., Zyromski N.J. Disconnected pancreatic duct syndrome: spectrum of operative management. J. Surg. Res., 2020, № 247, pp. 297–303. https://doi.org/10.1016/j.jss.2019.09.068.
6. Machado N.O. Disconnected duct syndrome: a bridge to nowhere. Pancreat. Disord. Ther., 2015, № 5 (2), pp. 15–19. https://doi.org/10.4172/2165-7092.1000153.
7. Shyu J., Sainani N., Sahni V. et al. Necrotizing Pancreatitis: Diagnosis, Imaging, and Intervention. RadioGraphics., 2014, № 34 (5), pp. 1218–1239. https://doi.org/10.1148/rg.345130012.
8. Werge M., Novovic S., Schmidt P., Gluud L. Infection increases mortality in necrotizing pancreatitis: A systematic review and meta-analysis. Pancreatology, 2016, № 16 (5), pp. 698–707. https://doi.org/10.1016/j.pan.2016.07.004.
9. Shabunin A.V., Bedin V.V., Tavobilov M.M., Shikov D.V., Kolotilshchikov A.A., Maer R.Y. Endoscopic transpapillary pancreatic duct stent placement in patients with necrotizing pancreatitis. Annals of hpb surgery, 2021, № 26 (2), pp. 32–38. (In Russ.). https://doi.org/10.16931/1995-5464.2021-2-32-38.
10. Yang Y., Yao W., Lan Zh., Zhao Ch., Peng B., Dong T., Shi J., Wang Z. Early endoscopic transpapillary drainage through the minor papilla in the treatment of acute pancreatitis. Gland Surg., 2022, № 11 (2), pp. 442–450. https://doi.org/10.21037/gs-22-38.
Review
For citations:
Bedin V.V., Korzheva I.Yu., Shikov D.V., Kolotilshchikov A.A., Kalashnikova E.A. Experience in endoscopic transpapillary stent placement in patients with early phase of necrotizing pancreatitis. Moscow Surgical Journal. 2022;(4):90-96. (In Russ.) https://doi.org/10.17238/2072-3180-2022-4-90-96
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