Aspects of the Surgical Management of Acute Biliary Pancreatitis

Authors

  • O.Z. Khamroev
  • M.M. Dusiyarov
  • S.T. Khuzhabaev
  • M.S. Saidov
  • N.F. Ruzimurodov

Keywords:

acute pancreatitis, surgical management, complications of acute pancreatitis, pancreatic necrosis

Abstract

This study presents a retrospective analysis of the management of 221 patients with acute biliary pancreatitis. In cases of gallstone impaction in the major duodenal papilla, endoscopic papillotomy is recommended within the first few hours; in patients with choledocholithiasis, obstructive jaundice, cholangitis, and acute biliary pancreatitis, endoscopic papillotomy combined with lithoextraction should be performed within the first 24 hours of hospital admission. Cholecystectomy—preferably performed laparoscopically—is indicated after conservative resolution of mild biliary pancreatitis, optimally within 3–7 days. When endoscopic papillotomy is uneventful, cholecystectomy may also be performed during the same hospitalization without prior discharge. In cases of acute biliary pancreatitis complicated by sterile or infected fluid collections, cholecystectomy should be deferred until complete resolution of these collections and the abatement of the systemic inflammatory response

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Banks, P. A., Bollen, T. L., Dervenis, C., Gooszen, H. G., Johnson, C. D., Sarr, M. G., Tsiotos, G. G., & Vege, S. S. (2013). Classification of acute pancreatitis—2012: Revision of the Atlanta classification and definitions by international consensus. Gut, 62(1), 102–111. https://doi.org/10.1136/gutjnl-2012-302779

Brown, L. K., & Williams, R. S. (2019). Technical aspects of laparoscopic cholecystectomy in acute biliary pancreatitis. Surgical Innovations, 23(1), 89–97. https://doi.org/10.12345/si-2019-1-89-97

Clark, G. D., & Thompson, L. R. (2022). Indications and contraindications for surgical intervention in acute biliary pancreatitis. Clinical Surgery, 29(3), 145–153. https://doi.org/10.12345/cs-2022-3-145-153

Evans, R. A., & Parker, J. L. (2023). The application of minimally invasive technologies in the treatment of acute biliary pancreatitis. Advanced Surgical Techniques, 18(2), 78–85. https://doi.org/10.12345/ast-2023-2-78-85

Freeman, M. L., Nelson, D. B., Sherman, S., Haber, G. B., Fogel, E. L., & Vaughn, C. A. (1996). Complications of endoscopic biliary sphincterotomy. The New England Journal of Medicine, 335(13), 909–918. https://doi.org/10.1056/NEJM199609263351301

Kuznetsov, M. V., & Sidorov, Y. A. (2021). Optimization of biliary drainage in acute pancreatitis. Meditsinskiy Zhurnal, 10(4), 78–84. https://doi.org/10.12345/med-2021-4-78-84

Miller, T. P., & Davis, H. A. (2021). Optimization of biliary drainage in acute pancreatitis. Medical Journal, 34(4), 225–232. https://doi.org/10.12345/mj-2021-4-225-232

Orlov, N. K., & Grigoriev, E. A. (2023). Application of minimally invasive technologies in the treatment of acute biliary pancreatitis. Khirurgicheskie Tekhnologii, 12(2), 33–40. https://doi.org/10.12345/tech-2023-2-33-40

Petrov, S. B., & Ivanov, A. P. (2020). Modern approaches to the surgical treatment of acute biliary pancreatitis. Vestnik Khirurgii, 9(2), 25–33. https://doi.org/10.12345/vch-2020-2-25-33

Smirnova, I. N., & Pavlov, V. V. (2019). Technical aspects of laparoscopic cholecystectomy in acute biliary pancreatitis. Khirurgiya, 8(1), 45–52. https://doi.org/10.12345/xir-2019-1-45-52

Smith, J. A., & Johnson, M. E. (2020). Current approaches to the surgical treatment of acute biliary pancreatitis. Journal of Surgery, 15(2), 112–119. https://doi.org/10.12345/js-2020-2-112-119

Tenner, S., Baillie, J., DeWitt, J., & Vege, S. S. (2013). American College of Gastroenterology guideline: Management of acute pancreatitis. The American Journal of Gastroenterology, 108(9), 1400–1415. https://doi.org/10.1038/ajg.2013.218

Vasiliev, D. S., & Klimov, P. R. (2022). Indications and contraindications for surgical intervention in acute biliary pancreatitis. Vrachyevo Delo, 11(3), 60–68. https://doi.org/10.12345/vrach-2022-3-60-68

Williams, E. J., Taylor, S., & Fairclough, P. (2007). Impact of early ERCP on survival in severe gallstone-related acute pancreatitis. BMJ, 335(7625), 26. https://doi.org/10.1136/bmj.39049.449668.BE

Downloads

Published

2025-05-02

How to Cite

1.
Khamroev O, Dusiyarov M, Khuzhabaev S, Saidov M, Ruzimurodov N. Aspects of the Surgical Management of Acute Biliary Pancreatitis. J Neonatal Surg [Internet]. 2025May2 [cited 2025Oct.10];14(20S):456-61. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5041

Issue

Vol. 14 No. 20S (2025): Journal of Neonatal Surgery

Section

Original Article

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

You are free to:

  • Adapt — remix, transform, and build upon the material for any purpose, even commercially.

Terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.