Experience in endoscopic transpapillary stent placement in patients with early phase of necrotizing pancreatitis

Introduction. This article is about the immediate clinical case of application the endoscopic stenting of the main pancreatic duct in a patient with acute destructive pancreatitis in the early phase of the disease. Frequent presence of signs of separation of the pancreatic duct system (diagnosed according to the instrumental methods of research), it was decided to use stenting of the main pancreatic duct with a plastic stent.Discussion. Acute destructive pancreatitis remains an urgent surgical problem due to the persisting significant number of various complications and deaths, despite the progress made in the treatment of this group of patients. Currently, there is a tendency to appear in the publication articles about endoscopic stenting of the main pancreatic duct in the early phase of the disease in patients with signs of separation of the ductal system. In addition, cases of using combined techniques for the most effective treatment of this group of patients are described.Conclusion. The use of endoscopic stenting of the main pancreatic duct is the best way to treat patients with acute destructive pancreatitis with signs of separation of the pancreatic duct system.