Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis
Purposeof thestudy. Development ofindications for performing pancreatoduodenal resection in complicated forms of chronic pancreatitis. Materials and methods. In chronic pancreatitis, resection and drainage surgical interentions were performed in 142 patients. Pancreatoduodenal resection was perfo...
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| Language: | English |
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Zaporizhzhia State Medical and Pharmaceutical University
2021-12-01
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| Series: | Сучасні медичні технології |
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| Online Access: | https://zmapo-journal.com/index.php/journal/article/view/53 |
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| author | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko A. N. Veligotsky |
| author_facet | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko A. N. Veligotsky |
| author_sort | N. N. Veligotsky |
| collection | DOAJ |
| description | Purposeof thestudy. Development ofindications for performing pancreatoduodenal resection in complicated forms of chronic pancreatitis.
Materials and methods. In chronic pancreatitis, resection and drainage surgical interentions were performed in 142 patients. Pancreatoduodenal resection was performed in 13 patients with complicated forms of chronic pancreatitis. To assess the degree of pancreatic fibrosis, ultrasound elastography was used (in mode Shear Wave Elastography). The indications for pancreatoduodenal resection were the presence of a pronounced fibroinflammatory process in the head of the pancreas, the impossibility of excluding the development of an oncological process, developed complications (biliary hypertension, portal hypertension, duodenal stasis,
Results. Among 13 patients with complicated forms of chronic pancreatitis, who underwent pancreatoduodenal resection, 12 (92,3%) patients had severe fibrosis, 1 (7,7%) had minor manifestations of fibrosis. Pancreatoduodenal resection was performed in 2 (15,4%) patients after preliminary biliary decompression, in 2 (15,4%) – after Pjustov-Frey surgery and cystojejunostomy.
Conclusion. Progression of fibroinflammatory changes in the pancreatic parenchyma in chronic pancreatitis, leading to the development of complications (biliary hypertension, duodenal stasis), is an indication for the use of resection surgery. |
| format | Article |
| id | doaj-art-359632a2f8c74a4cae07e79bea8c87e5 |
| institution | Kabale University |
| issn | 2072-9367 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Zaporizhzhia State Medical and Pharmaceutical University |
| record_format | Article |
| series | Сучасні медичні технології |
| spelling | doaj-art-359632a2f8c74a4cae07e79bea8c87e52025-01-02T04:06:43ZengZaporizhzhia State Medical and Pharmaceutical UniversityСучасні медичні технології2072-93672021-12-014(51)839110.34287/MMT.4(51).2021.1453Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitisN. N. Veligotsky0S. E. Arutyunov1M. V. Klymenko2A. N. Veligotsky3Kharkiv Medical Academy of Post-graduate EducationKharkiv Medical Academy of Post-graduate EducationKharkiv Medical Academy of Post-graduate EducationKharkiv Medical Academy of Post-graduate EducationPurposeof thestudy. Development ofindications for performing pancreatoduodenal resection in complicated forms of chronic pancreatitis. Materials and methods. In chronic pancreatitis, resection and drainage surgical interentions were performed in 142 patients. Pancreatoduodenal resection was performed in 13 patients with complicated forms of chronic pancreatitis. To assess the degree of pancreatic fibrosis, ultrasound elastography was used (in mode Shear Wave Elastography). The indications for pancreatoduodenal resection were the presence of a pronounced fibroinflammatory process in the head of the pancreas, the impossibility of excluding the development of an oncological process, developed complications (biliary hypertension, portal hypertension, duodenal stasis, Results. Among 13 patients with complicated forms of chronic pancreatitis, who underwent pancreatoduodenal resection, 12 (92,3%) patients had severe fibrosis, 1 (7,7%) had minor manifestations of fibrosis. Pancreatoduodenal resection was performed in 2 (15,4%) patients after preliminary biliary decompression, in 2 (15,4%) – after Pjustov-Frey surgery and cystojejunostomy. Conclusion. Progression of fibroinflammatory changes in the pancreatic parenchyma in chronic pancreatitis, leading to the development of complications (biliary hypertension, duodenal stasis), is an indication for the use of resection surgery.https://zmapo-journal.com/index.php/journal/article/view/53complicated forms of chronic pancreatitispancreatoduodenal resection |
| spellingShingle | N. N. Veligotsky S. E. Arutyunov M. V. Klymenko A. N. Veligotsky Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis Сучасні медичні технології complicated forms of chronic pancreatitis pancreatoduodenal resection |
| title | Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| title_full | Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| title_fullStr | Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| title_full_unstemmed | Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| title_short | Pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| title_sort | pancreatoduodenal resection in the treatment of complicated forms chronic pancreatitis |
| topic | complicated forms of chronic pancreatitis pancreatoduodenal resection |
| url | https://zmapo-journal.com/index.php/journal/article/view/53 |
| work_keys_str_mv | AT nnveligotsky pancreatoduodenalresectioninthetreatmentofcomplicatedformschronicpancreatitis AT searutyunov pancreatoduodenalresectioninthetreatmentofcomplicatedformschronicpancreatitis AT mvklymenko pancreatoduodenalresectioninthetreatmentofcomplicatedformschronicpancreatitis AT anveligotsky pancreatoduodenalresectioninthetreatmentofcomplicatedformschronicpancreatitis |