Acute pancreatitis (AP) is one of the important problem of the urgent surgery, often registrated in surgical patients. The today’s situation occurs in treatment of patients with AP seemes to be far from satisfactory. One of the main problem of the contemporary surgery is to perform out the new ways of how to treat AP alone and its complications. Roentgenendovascular surgery (RevS) represents the new effective method in diagnostical and curing procedures in patients with AP. So, the main issue of the present work is to present RevS treating efficacy in patients with AP.
Clinical observations were performed during the last 6 years in 107 patients with AP in surgical departments of the Odessa Municipal Hospitals N2 and N10. 85 of them had the slight expression of the pathological process or only its initial stage – oedematic AP. The rest of the patients were treated traditionally.
The efficacy of the sequentially performed RevS diagnostics and treatment was proved by pain syndrome disappearance in 28 of 31 patients with AP; pain intensity decreasing was observed in other patients. Toxic tests indices and C-reactive protein data diminished as a result of the performed miniinvazive treatment of AP patients. The pancreatic gland (PG) ultrasound investigation after RevS treatment is characterized by echo-signal lower intensity together with PG parenchyma nonmassive structure in imaging.
The data obtained showed a possibility of the quickest (during 3 days), qualified and effective treatment of the patients with acute inflammatory destruction of the PG parenchyma. The efficacy of treatment was proved by the pancreatic enzymes plasma content dynamic as well as by clinical conditions and data of the PG ultrasound investigation of patients with AP normalization.
Our data are in favour of the great efficacy of the RevS method of patients with AP treatment. The following features are very important in the method that we used: a) the possibility of the nontraumatized way of treatment of patients with AP that is perspective from the prognostic point of view; b) RevS method of curing resulted in the pain syndrome reduction, plasma biochemical and pancreatic parenchyma morphological changes were quickly and effectively normalized; c) we use sandostatin two-fold lower dose compared with its dose in case of compound intrabursal administration; d) very important is to use the direct compound injection into the destructed part of the PG that allows to reach the effective and quickest results of treatment.
Program Number: P338