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Дренирование под навигацией компьютерной томографии при деструктивных панкреатитах алкогольной этиологии: тактика лучевого диагноста и клинические исходы

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CT Assisted Drainage at Destructive Alcoholic Pancreatitis: Tactics of a Radiologist and Clinical Outcomes

The author analyzed 110 patients with alcoholic necrotic pancreatitis, drained by different approaches under CT assistance. In 107 cases the drainage continued more than three days, in 88 – more than 7 days, in 70–10 days and more. In one case, when a volume of necrosis was over 50%, a term of drainage composed 76 days with 6 days interval, providing an adequate outflow of 20–150 ml in a day. In 83 cases a repeated drainage was performed (up to 8 times) aimed to arrange passage from other cavities and/or because of a failure of a former drainage. Conclusions: drainage of cavities and necrotic zones of a pancreas at acute pancreatitis assisted by CT improves a prognosis and for sure shortens terms of in-patient treatment, mortality and treatment costs.

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