During the period of 6 years 176 patients with an acute pancreatitis were treated in the clinic, 17 (9,1%) of whom with destructive forms of disease. Tactics of treatment was developed on the grounds of ultrasonographic scanning of pancreas data, laparoscopy and enzymologic investigation results. Twenty two (12,5%) of patients were operated on. Postoperative lethality was 22,7%. Erosive hemorrhage was the cause of death in 2 patients and septic-purulent complications--in 3.
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