Preview

Grekov's Bulletin of Surgery

Advanced search

Long-term result of minimally invasive treatment of necrotic pancreatitis complicated by subtotal retroperitoneal phlegmon and unformed duodenal fistula

https://doi.org/10.24884/0042-4625-2020-179-2-51-54

Abstract

The authors present the case report of the patient with acute pancreatitis, multiple organ failure, anuria, pancreatogenic shock complicated by infection, diffused retroperitoneal phlegmon, unformed duodenal fistula, postnecrotic insular diabetes. Percutaneous catheter drainage of retroperitoneal abscess was performed under ultrasonic guidance. Therapy included somatuline. Irrigation-evacuation original system was used for debridement.

About the Authors

E. G. Grigoryev
Irkutsk State Medical University; Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

Grigoryev Eugene G., Dr. of Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Scientific Supervisor; Head of the Department of Hospital Surgery

1, Bortsov Revolyutsii str., Irkutsk, 664003



A. V. Alexandrov
Irkutsk Regional Clinic
Russian Federation

Alexandrov Alexander V., Head of the Department of Anesthesiology and Resuscitation No. 4

Irkutsk



E. A. Chizhova
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

Chizhova Elena A., Cand. of Sci. (Med.), Sonologist

Irkutsk



V. I. Kaporskiy
Irkutsk Regional Clinic
Russian Federation

Kaporskiy Viacheslav I., Cand. of Sci. (Med.), Head of the Department of Purulent Surgery

Irkutsk



References

1. Lashchevker V. M. Ostryy pankreatit (klinika, diagnostika, lecheniye). Kiyev, Zdorov’ya, 1982:167. (In Russ.).

2. Baril N. B., Ralls P. W., Wren S. M., Selby R. R., Radin R., Parekh D., Jabbour N., Stain S. C. Does an infected peripancreatic fluid collection or abscess mandate operation? Ann. Surg. 2000;231(3):361–367. Doi: 10.1097/00000658-200003000-00009.

3. Werner J., Buchler M. W. Infectious complications in necrotizing pancreatitis. Zentralbl. Chir. 2007;132(5):433–437. Doi: 10.1055/s-2007-981272.

4. Ermolov A. S., Blagovestnov D. A., Rogal’ M. L., Omel’yanovich D. A. Otdalennyye rezul’taty lecheniya tyazhelogo ostrogo pankreatita. Khirurgiya. Zhurnal im. N. I. Pirogova. 2016;10:11–15. (In Russ.). Doi: 10.17116/hirurgia20161011-15.

5. Grigoryev E. G., Sadakh M. V., Gel’fand S. A., Kaporskiy V. I., Boyko T. N., Spasov G. P., Dvoryanov Ya. V. Etapnoye lecheniye bol’noy infitsirovannym pankreonekrozom, oslozhnivshimsya nekroticheskim mezo- i parakolitom i mnozhestvennymi tolstokishechnymi svishchami (klinicheskoye nablyudeniye). Infektsii v khirurgii. 2008;4:56–57. (In Russ.).

6. Shanturov V. A., Kogan A. S., Boyko T. N., Fadeyeva T. V., Gumerov R. R., Grigoryev E. G. Punktsionno-dreniruyushchaya sanatsiya gnoynikov bryushnoy polosti: ischerpyvayushchiy li metod lecheniya? Khirurgiya. Zhurnal im. N. I. Pirogova. 2000;12:12–14. (In Russ.).

7. Aliyev S. A., Aliyev E. S. Maloinvazivnyye tekhnologii v khirurgii infitsirovannogo pankreonekroza: vozmozhnosti i perspektivy. Vestnik khirurgii. 2017;6:106–110. (In Russ.). Doi: 10.24884/0042-4625-2017-176-6-106-110.


Review

For citations:


Grigoryev E.G., Alexandrov A.V., Chizhova E.A., Kaporskiy V.I. Long-term result of minimally invasive treatment of necrotic pancreatitis complicated by subtotal retroperitoneal phlegmon and unformed duodenal fistula. Grekov's Bulletin of Surgery. 2020;179(2):51-54. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-2-51-54

Views: 497


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)