[Treatment experiences with acute pancreatitis]

The article analyzes the experience of treatment of 1003 patients with acute pancreatitis for 17 years. The method of choice was the early complex intensive conservative treatment performed in full detail. It proved to be effective in 87.3% of patients (876). There were no lethal outcomes. In 12.7% of patients (127) with acute pancreatitis operations were performed with clinical picture of apparent pancreatitis, pancreatonecrosis with progressing collapse, purulent pancreatitis and cholecystopancreatitis. In most patients (111) the method of surgery consisted in external drainage of the bile-excretory ducts, tamponage and drainage of the bursa omentalis and the retroperitoneal space. The postoperative lethality was 24%. The postoperative lethality of pancreatonecrosis and purulent pancreatitis was 30%. General lethality was 3%.