METHOD FOR PREVENTING ACUTE PANCREATITIS AFTER ENDOSCOPIC RETROGRADE PANCREATOCHOLANGIOGRAPHY AND ENDOSCOPIC PAPILLOSPHINCTEROTOMY

摘要

The method for preventing the acute pancreatitis after the endoscopic retrograde pancreatocholangiography and endoscopic papillosphincterotomy consists in the intravenous administration of Octreotid prior to papillosphincterotomy. The drug is administered in the following cases: the obesity, the ductal hypertension in the pancreatic duct in choledocholithiasis, the stenosing papillitis, the low duodenal ulcer, the location of the greater papilla in the diverticulum, the hyperplasia of the papilla, the wedging of the concrement into the papilla. After papillosphincterotomy ?-amilase is assayed in the blood. When its content exceeds 38 units, Octreotid is used daily for 2-3 days.