The problem of treatment optimization of patients with urgent cholangiogen pancreatitis after papillotomy is considered Dynamics of laboratory parameters is resulted. High efficiency with use delayed papillotomy, decrease in pancreatic secretion using oktreated in pre- and the postoperative period, and also introductions tripsin in the duodenum in a combination to it decompression, or the main pancreatic channel a probe pf an original design is established.

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