OPTIMIZATION OF METHODS OF PREVENTION OF ACUTE PANCREATITIS DURING TRANSPAPILLARY ENDOSCOPIC INTERVENTIONS IN PATIENTS WITH BILIARY TRACT DISEASES COMPLICATED BY MECHANICAL JAUNDICE

Accurate diagnostics and treatment of diseases of the pancreas (PG), gallbladder (GB) and bile ducts are one of the most important tasks of modern gastroenterology and hepatopancreatobiliary surgery. Endoscopic retrograde cholangiopancreatography (ERCP) remains an indispensable method of early diagnostics and minimally invasive treatment of various diseases of the pancreatobiliary system (PBS), which has entered clinical practice since the late 1960. This article presents an analysis of the results of endoscopic interventions on the major duodenal papilla and common bile ducts in 142 patients with complicated cholelithiasis (CSD) for the period from 2015 to 2020. It has been proven that intravenous drip administration of octreotide 600 mcg/ day for the prevention of acute post-manipulation pancreatitis during endoscopic interventions on the major duodenal papilla and common bile ducts is more effective than the traditional form of its use.