Hybrid management of acute severe necrotizing biliary pancreatitis complicated by abdominal sepsis and necrotic and fl uid collections in the abdominal cavity
https://doi.org/10.31146/1682-8658-ecg-174-2-99-104
Abstract
The article presents a clinical case of successful hybrid minimally invasive treatment of acute severe biliary necrotizing pancreatitis complicated by acute infected necrotic and fluid collections, abdominal sepsis. Endoscopic transgastric sequestrectomy in combination with polypositional percutaneous drainage and staged sanitation and drainage interventions allowed to avoid the traditional surgical treatment.
About the Authors
D. V. MizgirevRussian Federation
A. M. Epshtein
Russian Federation
S. S Pozdeev
Russian Federation
V. N. Pozdeev
Russian Federation
L. A. Neledova
Russian Federation
B. L. Duberman
Russian Federation
References
1. Aparna D., Kumar S., Kamalkumar S. Mortality and morbidity in necrotizing pancreatitis managed on principles of step-up approach: 7 years experience from a single surgical unit. World J Gastrointest Surg. 2017, Vol. 9, Iss. 10, pp. 200–208.
2. Kudelich O. A., Protasevich A. I., Kondratenko G. G. Minimally invasive interventions in the treatment of patients with acute necrotizing pancreatitis. Experimental and Clinical Gastroenterology. 2014:5(105):27–32.
3. Acute pancreatitis. National clinical guidelines. Access mode: 1.12.2018. http://www.общество-хирургов.рф/stranica-pravlenija/unkr/urgentnaja-abdominalnaja-hirurgija/nacionalnye-klinicheskie-rekomendaci-po-ostromu-pankreatitu.html.
4. Mayorov V. M., Dundarov Z. A. Modern possibilities of intervention radiology in the treatmentof acute pancreatitis and its complications. Health and environmental issues. 2017; 3(53);4–9
5. Rana S. S., Gupta R., Kang M. et al. Percutaneous catheter drainage followed by endoscopic transluminal drainage/ necrosectomy for treatment of infected pancreatic necrosis in early phase of illness. Endosc Ultrasound. 2018, Vol. 7, Iss. 1, pp. 41–47.
6. Sorrentino L., Chiara O., Mutignani M. et al. Combined totally mini-invasive approach in necrotizing pancreatitis: a case report and systematic literature review. World J Emerg Surg. 2017, Mar. 16, Vol. 12: 16. doi: 10.1186/s13017–017–0126–5. eCollection 2017.
7. Horvath K., Freeny P., Escallon J. et al. Safety and efficacy of video-assisted retroperitoneal debridement for infected pancreatic collections: a multicenter, prospective, single-arm phase 2 study. Arch Surg, 2010, Vol. 145, Iss. 9, pp. 817–825.
8. Windsor J. A. Infected pancreatic necrosis: drain first, but do it better. HPB (Oxford), 2011, Vol. 13, Iss. 6, pp. 367–368.
9. Shilton H., Breen D., Gupta S. et al. Multiple interventions with prolonged length of stay are required for treatment of necrotizing pancreatitis. ANZ J Surg. 2018, Vol. 88, Iss. 3, pp. E162-E166. doi: 10.1111/ans.13883. Epub 2017 Jan 26.
Review
For citations:
Mizgirev D.V., Epshtein A.M., Pozdeev S.S., Pozdeev V.N., Neledova L.A., Duberman B.L. Hybrid management of acute severe necrotizing biliary pancreatitis complicated by abdominal sepsis and necrotic and fl uid collections in the abdominal cavity. Experimental and Clinical Gastroenterology. 2020;174(2):99-104. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-174-2-99-104