Summary. The problem of hemorrhagic complications of destructive
pancreatitis is relevant.
The aim of the study was to study the frequency and sources of
hemorrhagic complications in patients with pancreatic necrosis, to
evaluate the tactics of diagnosis and the effectiveness of methods to
stop bleeding.
Materials and methods. A study of the results of treatment of
40 patients with acute necrotizing pancreatitis was conducted.
Results and its discussion. In 67.5 % of patients with acute necrotizing
pancreatitis, hemorrhagic complications in the form of arrosive
bleeding were observed. A method of endovascular occlusion of
vessels using Gianturco spirals or stent grafts to stop arrosive bleeding
in acute necrotizing pancreatitis has been introduced in the clinic.
In 37.0 % of cases, repeated signs of arrosive bleeding were observed.
In acute necrotizing pancreatitis complicated by arrosive bleeding,
mortality was 44.4 %.
Conclusions. The main cause of hemorrhagic complications in
acute necrotic pancreatitis is acute necrotic changes, during infection
of which arrosia of adjacent vessels occurs. The predominant tactic in
case of bleeding from the retroperitoneal space against the background
of minimally invasive treatment is clamping of drains, endovascular
hemostasis using Gianturco spirals or stent grafts and the use of
hemostatic soluble gauze (hemostop). Mortality in the development
of arrosive bleeding in acute necrotic pancreatitis is 44.4 %.
Метою дослідження було вивчити частоти і джерела
геморагічніх ускладнень у хворих на панкреонекроз,
оцінити тактику діагностики та ефективність методів
зупинки кровотечі.
