title: [Prevention and treatment of post-traumatic pancreatic necrosis in patients with blunt abdominal trauma].
abstract: BACKGROUND
  High incidence of necrotic and suppurative complications is feature of acute post-traumatic pancreatitis. Severe trauma of the pancreas and post-traumatic pancreatitis lead to depressurization of ductal system that requires adequate drainage of damaged area and retroperitoneal fat.
  
  
  METHODS
  95 patients in group 1 received standardized treatment. The victims of the 2nd group (44 patients) were treated using immunoreactive therapy (roncoleukin) and octreotide (the dose depended on the severity of pancreatitis) at early stages. The efficacy of treatment was assessed based on clinical, laboratory and instrumental parameters.
  
  
  RESULTS
  Regardless severity of pancreatic injury overall mortality in groups 1 and 2 was 41% and 20.5% respectively. The main causes of adverse outcomes are severe destructive pancreatitis, postnecrotic suppurative complications.
  
  
  CONCLUSIONS
  Adequacy rather radicalism of surgery should be preferred for blunt pancreatic trauma management. Minimally invasive surgical techniques and new methods of biological hemostasis may be applied. Timely use of anti-enzymatic and immunoactive therapy reduces the risk of severe post-traumatic pancreatitis, suppurative complications and improves outcomes in patients with blunt pancreatic trauma.
authors.affiliation: V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russua; Krasnoyarsk City Clinical Hospital #7б, Krasnoyarsk, Russia.
authors.forename: D V
authors.initials: DV
authors.lastname: Cherdantsev
authors.affiliation: V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russua; Krasnoyarsk City Clinical Hospital #7б, Krasnoyarsk, Russia.
authors.forename: O V
authors.initials: OV
authors.lastname: Pervova
authors.affiliation: V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russua; Krasnoyarsk City Clinical Hospital #7б, Krasnoyarsk, Russia.
authors.forename: Iu S
authors.initials: IS
authors.lastname: Vinnik
authors.affiliation: V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russua.
authors.forename: D Sh
authors.initials: DS
authors.lastname: Kurbanov
mesh_terms: D000007:Abdominal Injuries / Q000150:complications*; D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D000328:Adult; D004322:Drainage / Q000379:methods*; D005260:Female; D005765:Gastrointestinal Agents / Q000008:administration & dosage; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology / Q000473:pathology / Q000628:therapy; D015282:Octreotide / Q000008:administration & dosage*; D010179:Pancreas / Q000293:injuries / Q000473:pathology; D010195:Pancreatitis / Q000209:etiology / Q000473:pathology / Q000628:therapy; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications
chemical_list: D000276:Adjuvants, Immunologic; D005765:Gastrointestinal Agents; D015282:Octreotide