ACUTE DESTRUCTIVE PANCREATITIS IN CHILDREN

Unlike adults, acute pancreatitis in children is a rare disease. The absence of unified standards for the diagnosis, treatment and rehabilitation with destructive pancreatitis, as well high rates complications mortality, determined relevance our study.Materials methods. Materials results 11 were studied. age patients ranged from 2 to 16 years. Laboratory examination all included general biochemical analyzes blood, urine, peritoneal thoracic exudate. All underwent an ultrasound abdomen, chest cavity mediastinum, plain radiography abdominal cavity. Computed tomography was performed 6 (54.5%). Fibrogastroduodenoscopy (FGDS) 3 (27.3%). surgery. In 8 cases (72.7%), median laparotomy initially. observations (27.3%), surgical began video revision organs, then switched conversion. Three (27.3%) subsequently cystopancreatic jejunostomy. one child, transcutaneous drainage false pancreatic cyst under control. Synthetic somatostatin analogs proteinase inhibitors used targeted therapy. received long-term antibacterial Various methods extracorporeal detoxification (54.5%).Statistical processing research carried out using standard calculation relative values (absolute number observations, % ratio).The approval scientific work Bioethical Commission Donetsk National Medical University (Ukraine).The fragment proactive Department General Children's Surgery (Ukraine). Results. Complications early postoperative period noted (72.7%). group most severe progressive enzymatic bacterial peritonitis, adhesive intestinal obstruction, failure ileal anastomosis, profuse arrosive hemorrhage pancreas, cystopancreaticodigestive fistula eventation. period, 1 child aged 14 years (9.1%) died, rest discharged satisfactory condition. average hospital stay 23.1 days. 7 (63.6%), complaints characterized by "enteric" discomfort occurred later.Conclusions. principles therapeutic tactics are based on differentiated approach depending form necrosis development purulent complications. Further study requires determination situational tactics, assessment effectiveness combined therapy inhibitors, selection optimal regimen nutritional rehabilitation.