MODERN POSSIBILITIES OF INTERVENTION RADIOLOGY IN THE TREATMENT OF ACUTE PANCREATITIS AND ITS COMPLICATIONS (literature review)
Wide use of interventional radiology methods is one of the promising trends in the improvement of the treatment of patients with severe pancreatitis. The minimally invasive interferences carried out under beam rider guidance, such as percutaneous punctures and percutaneous drainage, endovascular hemostasis and endovascular catheterization of celiac trunk, are effective at all stages of the course of severe pancreatitis, and make it possible to avoid open operational interference in 40-90 % cases and to decrease mortality up to 8-9 %. The article presents the review of national and foreign publications dealing with controversial questions of surgical tactics in sharp liquid formations of the pancreas and omental bursa, effectiveness of the use of percutaneous draining operational interference in infected pancreatic necrosis and parapancreatitis. The world experience of endovascular stoppage of major haemorrhagic complications in patients with acute and chronic inflammatory diseases of the pancreas has been summarized. Questions of the selective intra-arterial infusion of medicines in severe pancreatitis have been studied.