ENDOSCOPIC CHANGES IN THE UPPER GASTROINTESTINAL TRACT IN PATIENTS WITH ACUTE PANCREATITIS AND PANCREATIC NECROSIS

Abstract

Aim: Endoscopic diagnosis of changes in the upper gastrointestinal tract in patients with acute pancreatitis and pancreatic necrosis. Materials and Methods: The results of esophagogastroduodenoscopy (EGD), 238 patients with acute pancreatitis. Patients were divided into two groups: patients with acute pancreatitis (173) and patients with pancreatic necrosis (65). Results: In the group of patients with acute pancreatitis in 71.1 % of patients were registered changes in the mucosa of the upper gastrointestinal tract. A 28.9 % of patients no changes were observed. 11.6 % had changes in the gastric mucosa. 23.1 % of patients had changes in the duodenal mucous membrane. Edema longitudinal fold was found in 31.2 % of all patients, as a result, in 6 % of patients it was impossible to visualize the papilla. In the group of patients with pancreatic necrosis, in 100 % were registered changes in the upper gastrointestinal tract. In 8.5 % of patients was found esophagitis, 32 % had gastric erosive changes, and in 50 % of cases detected gastroduodenitis. Conclusion: Specific treatment aimed at protecting gastrointestinal mucosa is required for all patients with pancreatic necrosis.