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Volume 09

Journal of Gastrointestinal & Digestive System

ISSN: 2161-069X

Gastro Congress 2019

July 08-09, 2019

conference

series

.com

July 08-09, 2019 | Zurich, Switzerland

14

th

Euro-Global Gastroenterology Conference

Page 23

Nazar Omelchuk, J Gastrointest Dig Syst 2019, Volume 09

Minimally-invasive methods of acute pancreatic post necrotic pseudocyst treatment

Statement of the Problem:

Acute necrotic pancreatitis (ANP) remains complicated problem of urgent surgery because

of high frequency of systemic, purulent and septic complications, mortality rate, which is in patients with infected

pancreonecrosis 14.7-26.4%.

Purpose:

The purpose of this study is to evaluate efficiency and establish indications for minimally invasive methods of

treatment of post-necrotic pseudocyst of pancreas.

Methodology &Theoretical Orientation:

For diagnostics ultrasonography was used, diagnostic laparoscopy, helical CT

with contrast strengthening. Endoscopic interventions were applied by duodenoscopes “Olympus” under control of X-ray

machine “Siemens BV 300”. Cystodigestive fistulas were created by prickly papilotoms. For providing of long passability

of cystodigestive fistula were used two endoprostheses like “pig tail” sized 10 Ft with length 5-6 cm. For transpapillary

drainage were used pancreatic endoprostheses like “pig tail”, sized 5-7 Ft with length 5 cm.

Findings:

In 82 (68.2%) patients were applied minimally invasive methods of treatment; Percutaneous external drainage

in 38 (46.3 %) patients, endoscopic transmural drainage of post-necrotic pseudocyst in 22 (26.85%) patients. Combined

endoscopic interventions were applied in 22 (26.85%) patients. In particular, endoscopic transmural drainage with

temporary stenting of pancreatic duct in 11 (50%) patients, endobiliary stenting with temporary stenting of pancreatic

duct in 5 (22.7%) patients, temporary stenting of pancreatic duct in 4 (18.2%) patients, endoscopic transmural drainage

with percutaneous external drainage in 2 (9.1%) patient.

Conclusion & Significance:

Usage of combined minimally invasive methods of treatment of acute necrotic pancreatitis

complicated by post-necrotic pseudocyst help to improve results of treatment, reduction of complications amount,

contraction of stationary treatment terms and improving of life quality.

Recent Publications

1.

Madacsy L, Kurucsai G and Joo I (2009) Rescue ERCP and insertion of small-calibre pancreatic stent to prevent

the evolution of severe post-ERCP pancreatitis: a case-controlled series. Surg. Endosc. 23(8):1887-93.

Nazar Omelchuk

Ivano-Frankivsk National Medical University, Ukraine