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Surgical treatment of children with pancreonecrosis


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We analyzed results of the treatment of 11 patients with acute pancreatitis for 1982-1985. The disease was diagnosed by clinico-laboratory methods and CT. Destructive processes in the pancreas were eliminated by opening and drainage of abscess in the retroparietal adipose tissue. Surgical treatment was supplemented by antibacterial therapy and proteolytic enzyme inhibitors. Duration of the treatment was 56±4.4 days. Positive outcome was achieved in all the patients. The authors discuss the value of surgical treatment of acute pancreonecrosis not only as a method for conservation of most pancreatic tissue but also as a promising way to reduce the costs of the treatment.

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