MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE

The results of endoscopic stomach drainage of fluid aggregates and post-necrotic pancreatic cysts have been investigated in 34 patients. All the patients were divided into two groups. The first group included early stage patients (from the onset of the disease up to 6 weeks duration), the second gro...

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Autores principales:	V. G. Lubyanski, V. V. Nasonov, A. V. Lepilov, V. A. Yakovlev
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	pancreas pancreonecrosis post-necrotic cyst endoscopic ultrasonography cystogastroanastomosis Science Q
Acceso en línea:	https://doaj.org/article/228bbf36ebbd4930bf28fd01dee04a6e
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spelling	oai:doaj.org-article:228bbf36ebbd4930bf28fd01dee04a6e2021-11-23T06:14:37ZMECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE2541-94202587-959610.12737/article_59a614f830b2a3.00096995https://doaj.org/article/228bbf36ebbd4930bf28fd01dee04a6e2017-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/613https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The results of endoscopic stomach drainage of fluid aggregates and post-necrotic pancreatic cysts have been investigated in 34 patients. All the patients were divided into two groups. The first group included early stage patients (from the onset of the disease up to 6 weeks duration), the second group covering the period post 6 weeks. According to the findings of the histological examination of pancreatic site tissue and peripancreatic fiber specific features of forming post-necrotic pancreatic cysts at early and late stages from the beginning of the disease have been studied by means of the endoscopic ultrasound technology. Besides, the stages of post-necrotic pancreatic cyst formation have been explored. The technology of through-the-stomach drainage has been developed, including the cyst puncture at the initial phase as well as subsequent dissection of the stomach wall and the cyst with the cystotome and its emptying. In the postoperative period balloon dilation of the cystogastroanastomosis and stage sanitations were carried out. If necessary, necrectomy with stent application was performed. Draining time parameters have been determined depending on the capsule formation, which consists of the early fibrinous layers and granulation tissue and subsequently turns into the fibrous membrane 3.4 mm thick. The study of the results of operations and the analysis of the causes of complications have been conducted, gastric bleeding being the most dangerous complication registered in 3 patients. To prevent intraoperative bleeding the method of post-necrotic cyst drainage has been changed.V. G. LubyanskiV. V. NasonovA. V. LepilovV. A. YakovlevScientific Сentre for Family Health and Human Reproduction Problemsarticlepancreaspancreonecrosispost-necrotic cystendoscopic ultrasonographycystogastroanastomosisScienceQRUActa Biomedica Scientifica, Vol 2, Iss 2, Pp 28-33 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	pancreas pancreonecrosis post-necrotic cyst endoscopic ultrasonography cystogastroanastomosis Science Q
spellingShingle	pancreas pancreonecrosis post-necrotic cyst endoscopic ultrasonography cystogastroanastomosis Science Q V. G. Lubyanski V. V. Nasonov A. V. Lepilov V. A. Yakovlev MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
description	The results of endoscopic stomach drainage of fluid aggregates and post-necrotic pancreatic cysts have been investigated in 34 patients. All the patients were divided into two groups. The first group included early stage patients (from the onset of the disease up to 6 weeks duration), the second group covering the period post 6 weeks. According to the findings of the histological examination of pancreatic site tissue and peripancreatic fiber specific features of forming post-necrotic pancreatic cysts at early and late stages from the beginning of the disease have been studied by means of the endoscopic ultrasound technology. Besides, the stages of post-necrotic pancreatic cyst formation have been explored. The technology of through-the-stomach drainage has been developed, including the cyst puncture at the initial phase as well as subsequent dissection of the stomach wall and the cyst with the cystotome and its emptying. In the postoperative period balloon dilation of the cystogastroanastomosis and stage sanitations were carried out. If necessary, necrectomy with stent application was performed. Draining time parameters have been determined depending on the capsule formation, which consists of the early fibrinous layers and granulation tissue and subsequently turns into the fibrous membrane 3.4 mm thick. The study of the results of operations and the analysis of the causes of complications have been conducted, gastric bleeding being the most dangerous complication registered in 3 patients. To prevent intraoperative bleeding the method of post-necrotic cyst drainage has been changed.
format	article
author	V. G. Lubyanski V. V. Nasonov A. V. Lepilov V. A. Yakovlev
author_facet	V. G. Lubyanski V. V. Nasonov A. V. Lepilov V. A. Yakovlev
author_sort	V. G. Lubyanski
title	MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
title_short	MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
title_full	MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
title_fullStr	MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
title_full_unstemmed	MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE
title_sort	mechanisms of formation of pancreatic post-necrotic cysts, terms and methods of endoscopic transgastric drainage
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/228bbf36ebbd4930bf28fd01dee04a6e
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MECHANISMS OF FORMATION OF PANCREATIC POST-NECROTIC CYSTS, TERMS AND METHODS OF ENDOSCOPIC TRANSGASTRIC DRAINAGE

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