Surgical management of chronic pancreatitis complicated by biliary and duodenal obstruction

Barvanian G.M.

doi:https://doi.org/10.17116/hirurgia20161133-37

Barvanian G.M.

Komi respublikanskaia bol'nitsa, Syktyvkar

Surgical management of chronic pancreatitis complicated by biliary and duodenal obstruction

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Barvanian G.M.

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Journal: Pirogov Russian Journal of Surgery. 2016;(11): 33‑37

DOI: 10.17116/hirurgia20161133-37

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Barvanian GM. Surgical management of chronic pancreatitis complicated by biliary and duodenal obstruction. Pirogov Russian Journal of Surgery. 2016;(11):33‑37. (In Russ.)
https://doi.org/10.17116/hirurgia20161133-37

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

Aim. To compare different surgical approaches to chronic pancreatitis complicated by biliary and duodenal obstruction. Material and methods. In the study (n=42) and control (n=36) groups 18 and 4 resections were performed respectively (p=0.004). Early postoperative complications occurred in 15 cases of the study group and 4 cases of the control group (p=0.024). 7 and 1 re-operations were made in both groups respectively (p=0.99). There was no postoperative mortality in both groups. There were 4 cases of return to false-negative results of intraoperative biopsy in the control group. In these patients resection was possible during primary surgery. Conclusion. Resections are advisable for chronic pancreatitis complicated by obstructive jaundice and duodenal obstruction because it eliminates biliary and duodenal obstruction and can accurately determine the nature of disease.

Keywords:

chronic pancreatitis

biliary and duodenal obstruction

surgery

resection

drainage

Authors:

Barvanian G.M.

Komi respublikanskaia bol'nitsa, Syktyvkar

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References:

Gagua A, Zagainov V, Evtikhova E. Long-term treatment results and quality of life of the patients, operated on the reason of chronic pancreatitis, complicated by the obstructive jaundice. Khirurgia. 2013;(1):34-38. (In Russ.).
Ivashkin V, Maev I, Okhlobystin A, Kucheryavyy Yu, Trukhmanov A, Sheptulin A, Shifrin O, Lapina T, Osipenko M, Simanenkov V, Khlynov I, Alekseyenko S, Alekseyeva O, Chikunova M. Guidelines of the Russian gastroenterological association on diagnostics and treatment of a chronic pancreatitis. Ros zhurn gastrojenterol gepatol koloproktol. 2014;(4):70-97. (In Russ.).
Perumal S, Palaniappan R, Pillai S, Velayutham V. and Sathyanesan J. Predictors of malignancy in chronic calcific pancreatitis with head mass. World J Gastrointest Surg. 2013;5(4):97-103. doi: 10.4240/wjgs.v5.i4.97
Egorov V, Vishnevsky V, Shastny A, Shevchenko T, Zhaharova O, Petrov R, Poltoracky M, Melekhina O. Resection of the head of the pancreas by chronic pancreatitis. Khirurgia. 2009;(8):57-66. (In Russ.).
Yareshko V, Mikheyev Yu. Resection and Drainage Operations in Treatment of Chronic Pancreatitis and its Complications. Ukrainskij zhurnal khirurgii. 2013;22(3):165-166. (In Russ.).
McClaine R, Lowy A, Matthews J, Schmulewitz N., Sussman J, Ingraham A, Ahmad S. A comparison of pancreaticoduodenectomy and duodenum-preserving head resection for the treatment of chronic pancreatitis. HPB. 2009;(11):677-683. doi: 10.1111/j.1477-2574.2009.00118.x
Wani N, Parray F, Wani M. Is any surgical procedure ideal for chronic pancreatitis? Int J Surg. 2007;5(1): 45—56. doi: 10.1016/j.ijsu.2006.01.011
Krasil'nikov D. Surgical treatment of patients with chronic pancreatitis. Kazanskij medicinskij zhurnal. 2011;92(4):46-48. (In Russ.).
Erkan M, Hausmann S, Michalski C, Schlitter A, Fingerle A, Dobritz M, Friess H, Kleeff J. How ﬁbrosis inﬂuences imaging and surgical decisions in pancreatic cancer. Frontiers in Physiology. Gastrointestinal Sciences. 2012;3:389. doi: 10.3389/fphys.2012.00389
Garcea G, Metcalfe M, Berry D, Robertson G, Lloyd D, Dennison A. Is Intraoperative Confirmation of Malignancy During Pancreaticoduodenectomy Mandatory? J Gastrointest Surg. 2012;16(2):370-375. doi: 10.1007/s11605-011-1728-y
Kubyshkin V, Kozlov I, Kriger A, Chzhao A. Surgical management of chronic pancreatitis and it's complications. Annaly khirurgicheskoj gepatologii. 2012;17(4):24-34. (In Russ.).
Ivanov S, Gorbacheva O, Rozberg E, Ivanov I, Golikov A, Yagubov G. Results of treatment of patients with chronic pancreatitis. Vestnik NMHC im. N.I. Pirogova. 2016;11(1):53-55. (In Russ.).
Shchastnyi A, Petrov R, Egorov V. The results of duodenum preserving pancreatic head resection by Begger in chronic pancreatitis. Annaly khirurgicheskoj gepatologii. 2011;16(11):72-78. (In Russ.).
Kopchak V, Khomyak I., Cheverdyuk D., Kopchak K, Duvalko A, Serdyuk V. Principles of direct surgical procedures on the pancreas in surgical treatment of chronic pancreatitis. Vestnik khirurgii. 2012;171(3):39-34. (In Russ.).
Sakorafas G, Tsiotou A. Proximal pancreatectomy in the surgical management of chronic pancreatitis. J Clin Gastroenterol. 2002;34(1):72-76.
Evtihova E, Gorohov G, Kuchin A, Kazakov A, Puzanov S, Gorshkova T, Gagua A, Zagainov V. The comparative assessment of the results of pancreaticoduodenal resection and Berne modification of isolated resection of head of pancreas in case of chronic pancreatitis, complicated with obstructive jaundice. Medicinskij al'manah. 2012;(4):161-165. (In Russ.).