[Substantiation of optimal combination of external drainage of the thoracic duct, lymphosorption and hemosorption in the complex treatment of patients with destructive pancreatitis].

The results of treating 147 patients with acute destructive pancreatitis are summarized. In the complex treatment of 48 patients, the external drainage of the thoracic duct (EDTD) was used, 36--EDTD in combination with lymphosorption (LS), 23--EDTD, LS, hemosorption (HS). It is established that the level of oligopeptides precisely reflects the severity degree of endogenous intoxication in patients with destructive pancreatitis, and can serve as one of the indications for the performance of the methods of acute detoxication. In patients with destructive pancreatitis, the combined use of LS and HS is the most effective.