43 -9 (71) 2024 - Хamrayev О.Z., Dusiyarov М.М. - BILIARY PANCREATITIS: MODERN IDEAS ABOUT SURGICAL TREATMENT

BILIARY PANCREATITIS: MODERN IDEAS ABOUT SURGICAL TREATMENT

Хamrayev О.Z. - Navoi branch of the Republican Scientific Center for Emergency Medical Care. Uzbekistan

Dusiyarov М.М. - Samarkand State Medical University

Askarov P.А. - Samarkand State Medical University

Hudjabayev S.Т. - Samarkand State Medical University

Resume

The paper presents a retrospective analysis of the treatment of 221 patients with acute biliary pancreatitis. When a stone is inserted into the large duodenal papilla, endoscopic papillotomy is recommended in the first hours, with choledocholithiasis, mechanical jaundice, cholangitis and acute biliary pancreatitis, endoscopic papillotomy and lithoextraction performed on the first day after the patient's admission to the clinic. Cholecystectomy, usually laparoscopic, is advisable to perform after conservative resolution of mild biliary pancreatitis in the next 3-7 days. After performing an endoscopic papillotomy, cholecystectomy is also justified without discharge from the hospital, if the procedure is completed without complications. In acute biliary pancreatitis complicated by sterile or infected fluid accumulations, cholecystectomy should be postponed until they are completely resolved and the systemic inflammatory reaction is eliminated.

Keywords. Acute pancreatitis, surgical treatment, complications of acute pancreatitis, pancreonecrosis

First page

222

Last page

228

For citation:Хamrayev О.Z., Dusiyarov М.М., Askarov P.А., Hudjabayev S.Т. - BILIARY PANCREATITIS: MODERN IDEAS ABOUT SURGICAL TREATMENT//New Day in Medicine 9(71)2024 222-228 https://newdayworldmedicine.com/en/new_day_medicine/9-71-2024

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