Central Asian Journal of Medicine


The article analyzes the treatment results of 438 patients with biliary pancreatitis, which were divided into two groups. The main group included 201 patients treated for the period from 2014 to 2018. The comparison group included 237 patients treated from 2009 to 2013. The analysis of indicators was carried out according to the Ranson and APACHE II prognostic scales. The developed algorithm for the choice of treatment tactics for acute biliary pancreatitis, which was used in patients of the main group in combination with the proposed clinical and pathogenetic aspects of intensive therapy of pancreatogenic systemic complications, allowed to reduce their development frequency from 24.9% to 14.9%, to increase the probability of stabilization and regression of the main pathological process from 81% to 89.6% and thereby to reduce the mortality rate from 11.4% to 4.5%.

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