Evaluation of the effect of double postbulbar blockade (PBB) on the rate of regression of hyperamylasemia in acute biliary pancreatitis

The article is devoted to the evaluation of methods for prevention post-manipulation pancreatitis based on analysis hyperamylasemia in patients with acute biliary pancreatitis, who underwent transpapillary interventions. Aim study . To assess impact a new method preventing complications rate regression pancreatitis. Materials and In 2015–2021, 70 proven interventions were included. Men—16 (23%), women 54 (77%). 56 (Group 1), prevented after intervention by submucosal infiltration 0.5% lidocaine/novocaine solution, 10 ml. 14 2) used technique (priority certificate No. 2021137430 dated 12/16/2021). level amylasemia was monitored 6–8 hours papillotomy, then daily until normalization. 2nd group, stenting plastic stent also used. Results time 100 units/l between groups 1 2 6.8±1.9 days versus 4.5±2.3 differed significantly. Without stent, group returned normal within days, use stent—within 4 without statistical differences. Evaluation reactive amylase levels at endoscopic revealed reduction duration period when using double PBB. Comparison conventional PBB changes EPT showed similar picture. Conclusions 1. A promising requires additional evaluation. 2. does not significantly affect hyperamylasemia. 3. Stenting pancreatic duct tends prolong