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In clause results of treatment of 1794 patients with a sharp pancreatitis are analyzed. The interstial form was observed at 1186 are sick, for 608 (33,9%) patients has been diagnosed pancreonecrosis. Men (73%) prevailed, the age was within the limits of from 18 till 75 years, middle age has made 46,7 years. The basic part of patients (97,3%) have acted in hospitals in a phase fermental [Cyrillic word: see text]. During till 24 o'clock from the beginning of disease 24,6% patients have acted only, at other patients terms from the beginning of disease exceeded 24 and more hours. Spent complex infusion, antifermental and antibacterial therapy. During medical-diagnostic laparoscopic spent [Cyrillic word: see text] a belly cavity, retrogastric bags and formation of holecyctostoms. At presence of purulent complications of pancreonecrosis a unconditional priority gave littletrauwm to methods of treatment (a puncture abscesses under UZ prompting, and as during retroperitoneoscopy). Duration of treatment at a simple pancreatitis has averaged 15,4 days, at pancreonecrosis 22,9, at purulent complications of a destructive pancreatitis it reached 39,8 day. Mortalyti at a sharp pancreatitis has made 2,2% (26 patients), at pancreonecrosis 9,7% (59 patients), and at purulent complications of a destructive pancreatitis 25,7% (17 patients).