[Diagnosis and differential treatment of acute pancreatitis of biliary etiology].
The experience in examination and treatment of 208 patients with acute pancreatitis of biliary etiology was analyzed. Complex endoscopic treatment was carried out in 88% patients. If there are indications, it is reasonable to perform retrograde pancreatocholangiography (RPCG) and endoscopic papillosphincterotomy (EPST) during surgery in patients with concomitant enzymatic ascites-peritonitis. In the others patients RPCG and EPST must be regarded as the first stage of treatment. Surgical procedure of choice at the second stage of treatment is laparoscopic cholecystectomy.
Reshetnikov
E A
EA
Mironov
A S
AS
Malov
Iu Ia
IuIa
D000208:Acute Disease; D002758:Cholangiography; D002761:Cholangitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002915:Chylous Ascites / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D018579:Patient Selection; D016717:Sphincterotomy, Endoscopic / Q000379:methods*