Issues of surgical treatment of acute biliary pancreatitis

Z.E. Eldarova¹, I.A. Kaprin¹, A.G. Mylnikov², V.P. Glabai¹ 

¹I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow

²V.V. Vinogradov City Clinical Hospital, Moscow 

The article presents a review of national and foreign literature on the diagnosis and treatment of patients with acute pancreatitis with an assessment and systematization of the existing surgical treatment in acute biliary pancreatitis (ABP). The review of the special literature conducted by the authors was aimed at highlighting modern approaches to the management of patients with ABP. It is noted that biliary etiology is one of the most common in the structure of acute pancreatitis, and, therefore, the task of finding optimal methods for the treatment of ABP is of particular relevance. Various hypotheses of the ABP pathogenesis are discussed. At present, numerous studies have confirmed the efficacy and safety of an early cholecystectomy in mild ABP, however, the problem of optimizing surgical treatment tactics in moderate and severe cases of this disease requires further careful study. According to the authors, much depends on an adequate assessment of the role of endoscopic retrograde cholangiopancreatography with endoscopic papillosphincterotomy in the treatment of severe ABP, depending on the concomitant damage to the bile ducts, as well as the cholecystectomy implementation date.

Keywords: surgery, acute pancreatitis, acute biliary pancreatitis, endoscopic papillosphincterotomy, endoscopic retrograde cholangiopancreatography, infected pancreatic necrosis, surgical aids.

For citation: Eldarova Z.E., Kaprin I.A., Mylnikov A.G., Glabai V.P. Issues of surgical treatment of acute biliary pancreatitis. RMJ. 2022;7:–35.