Duodenal Obstruction in Chronic Pancreatitis

A.V. Vorobey, A.Ch. Shuleyko, Yu.N. Orlovsky, Yu.I. Vizhinis

Abstract


Objective. To analyze the outcomes of surgical treatment for chronic pancreatitis in patients with duodenal obstruction, to justify the choice of operations for duodenal obstruction in different clinical situations.
Material and Methods. Analysis of outcomes of surgical treatment of 187 patients with chronic pancreatitis, carried out from 2010 to 2013 in the clinic of surgery department of BelMAPE, was conducted. Duodenal obstruction were detected in 20.3 % of cases, 38 different types of operations to correct them were carried out.
Results and Discussion. The highest efficiency is noted when the Berne modification of Beger procedure with intrapancreatic choledocholysis or intrapancreatic choledochopancreatostomy, which took place in 74.6 % of cases (50 surgeries). Specific postoperative complications were noted in 18.4 % of cases.
Conclusion. The classification of duodenal obstruction in chronic pancreatitis, a new tactic in the surgical correction for duodenal obstruction had been suggested.


Keywords


chronic pancreatitis; duodenal obstruction; surgical treatment

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DOI: https://doi.org/10.22141/1997-2938.2.25.2014.83055

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