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3 . 2015

Аnalysis of transpapillary interventions complications

Abstract

The results of 1028 endoscopic procedures have transpapillary 575 patients with benign and malignant pathology pancreatobiliary area. Postmanipulаtion complications occurred in 31 cases and amounted to 2.9% of mortality 1 (0.09%). Analysis of complications was conducted in the period of activity in view of the introduction of the most important preventive and therapeutic measures. The complex of prophylactic and therapeutic measures will reduce the number of complications from 8.5% in 2007–2008 to 1.2% in 2014–2015. Leading events affecting the security of transpapillary interventions were: experience of the doctor, the inclusion in the preoperative diagnostic algorithm endosonography, stenting bile and the main pancreatic ducts, reduction of the duration of surgery and increase the number of phases of the operation.

Keywords:postmanipulyatsionnye complications transpapillary intervention, preventive and therapeutic measures

Clin. Experiment. Surg. Petrovsky J. 2015. № 3. Р. 51–56.

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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