THE INFLUENCE OF ACUTE PERIPANCREATIC FLUID COLLECTION ON THE INTRA-ABDOMINAL PRESSURE IN PATIENTS WITH A COMPLICATED COURSE OF ACUTE PANCREATITIS

Abstract

Introduction. Acute pancreatitis is a systemic disease with a high risk of complications and death. The frequency of development of intra-abdominal hypertension in patients of this category is 60-70% and leads to an increase in the mortality rate up to 62% [1]. Acute peripancreatic fluid collection, occurring in 65.2-88.9% of patients with moderate and severe acute pancreatitis in the early period of the disease, is one of the causes of increased intra-abdominal pressure [2]. At the current stage, in the treatment of acute peripancreatic fluid collection, preference is given to conservative methods, which is associated with data according to which the use of operative treatment in the early stages of the course of acute pancreatitis leads to an increase in the number of complications, deaths and the length of stay of patients in the hospital [3]. However, there are studies proving the safety and effectiveness of paracentesis and drainage of the abdominal cavity in this category of patients [4].