Severe acute pancreatitis. Choice of treatment tactics

The experience of treatment of 87 patients with severe acute pancreatitis is considered. The protocol of therapeutic and diagnostic tactics included active conservative management of patients with a daily overall assessment of the clinical picture according to the Marshal, APACHE II and Ranson scales, the dynamics of laboratory changes, combined with the analysis of instrumental research data (US, CT and MRI), the use of delayed surgical interventions. The use of the developed protocol led to a decrease in overall and postoperative mortality, the number of systemic complications and a significant increase in survival in severe acute pancreatitis.