The first assessment of the impact of possible methods for the prevention of pancreatitis in endoscopic transpapillary interventions on the level of amylasemia
https://doi.org/10.52581/1814-1471/77/08
Abstract
The paper is devoted to the assessment of prevention methods of post-ERCP pancreatitis on the analysis of hyperamilasemia in patients with pathology of the pancreatobiliary system, who underwent endoscopic transpapillary interventions.
The aim of the study: initial assessment of the impact of possible methods for the prevention of pancreatitis in endoscopic transpapillary interventions on the level of amylasemia.
The study is based on a continuous retrospective analysis of 73 case histories of patients undergoing EPST. For analysis, patients were divided into three groups: in the 1st, stenting of the pancreatic duct was performed by plastic stents, in the 2nd group, parapapillary blockade of 0.5% novocaine solution in a volume of 10ml was performed, in the 3rd group the described methods were not used. In the study, in patients with stenting, the development of hyperamilasemia was detected in 22% of cases, with only parapapillary blockade with novocaine solution - in 38% of cases, without the use of the described methods of prevention - in 15%. Amylasemia relief periods were significantly longer with stenting. The study demonstrated the equally low effectiveness of the methods used and the need to continue data analysis of described methods for the prevention of post-ERCP pancreatitis.
About the Authors
S. A. May
Novokuznetsk City Clinical Hospital № 29 named after A.A. Lutsik
Russian Federation
Russian Federation
Semen A. May, physician-endoscopist, endoscopy unit.
49, Sovietskoy Armii Ave., Novokuznetsk, 654038, Phone: +7 (384-3) 536-103.
A. G. Korotkevich
Novokuznetsk City Clinical Hospital № 29 named after A.A. Lutsik; Novokuznetsk State Medical Refresher Institute
Russian Federation
Russian Federation
Alexey G. Korotkevich, Dr Med. sci., Professor, the Department of Surgery, Endoscopy, Urology and Pediatric Surgery, Novokuznetsk SMRI; Novokuznetsk CCH No. 29 named after A.A. Lutsik.
49, Sovietskoy Armii Ave., Novokuznetsk, 654038; 5, Stroiteley Ave., Novokuznetsk, 654038
I. V. Savostianov
Novokuznetsk City Clinical Hospital № 29 named after A.A. Lutsik
Russian Federation
Russian Federation
Ilia V. Savostianov, Cand. Med. sci., physician-endoscopist, Endoscopy unit.
49, Sovietskoy Armii Ave., Novokuznetsk, 654038
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For citations:
May S.A., Korotkevich A.G., Savostianov I.V. The first assessment of the impact of possible methods for the prevention of pancreatitis in endoscopic transpapillary interventions on the level of amylasemia. Issues of Reconstructive and Plastic Surgery. 2021;24(2):74-79. (In Russ.) https://doi.org/10.52581/1814-1471/77/08
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