ETIOPATHOGENESIS, CLINICAL PICTURE, DIAGN OSIS, AND TREATMENT OF POSTTRAUMATIC PANCREATITIS

The authors generalize their experience in the treatment of 41 patient s with posttraumatic pancreatitis. This complication predominated in t he early postoperative period in patients with various degree of injur y to the pancreas. The main etiopathogenic factors of the development of posttraumatic pancreatitis are indicated. The therapeutic tactics w as mainly nonoperative. The effect was positive in 24 cases. Seventeen (41.5 %) patients had the pyodestructive form. The mortality rate was 29.3 %. The leading principle of management was the initial attitude towards all patients with injury to the pancreas as if they were poten tial patients with posttraumatic pancreatitis, and the prescription of preventive treatment.