[Gall bladder drainage at acute pancreatitis].
Determination of indications and contra-indications to cholecystostomy in patients with acute necrotic pancreatitis was the aim of this study. 102 patients were examined. Presence of caput pancreatis enlargement, infiltration and limited fluid accumulation, gall bladder enlargement and increase in bilirubin level was evaluated. Evidence of biliary hypertension was evaluated according to bile amount flowing out of the cholecystostoma. Findings allowed to draw the following conclusions. Increase in conjugated bilirubin, dilatation of bile ducts, gall bladder enlargement over 120 mm lengthwise are the indications to cholecystostoma surgery at acute necrotic pancreatitis. Gall bladder drainage in other cases is not reasonable. Cholecystostoma surgery should be carried out at the latest 3 days from the moment of admission to hospital preferably by laparoscopic method. Presence of initial hypotension is the contra-indication to gall bladder drainage even in case of total normalization of hemodynamics.
Kuznetsov
N A
NA
Rodoman
G V
GV
Shalaeva
T I
TI
Nalivaĭskiĭ
A A
AA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004322:Drainage / Q000379:methods*; D005260:Female; D005705:Gallbladder Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D019283:Pancreatitis, Acute Necrotizing / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult