Algorithm of surgical treatment of complicated forms of chronic pancreatitis.

Authors

  • O. E. Kanikovskyi
  • I. V. Pavlyk
  • I. V. Oliinyk

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145671

Keywords:

chronic pancreatitis, algorithm of surgical treatment

Abstract

The purpose of the work was to evaluate the algorithm of surgical treatment of complicated forms of chronic pancreatitis. The results of surgical treatment of 181 patients with complicated forms of chronic pancreatitis were analyzed. 24.5% of patients were admitted with type B pain syndrome. Among them, all patients had multiple strictures of the main pancreatic duct and tissue pressure resistance was >200 mm Hg. Histologically,these patients had stage 4 of pancreatic fibrosis. A combined local resection by Frey-Izbickiy allows to reduce the number of relapses of pancreatic hypertension by 11.1%.

Author Biographies

O. E. Kanikovskyi

National Pirogov Memorial Medical University, Vinnytsya
Pirogov str., 56, Vinnytsya, 21018, Ukraine

I. V. Pavlyk

National Pirogov Memorial Medical University, Vinnytsya
Pirogov str., 56, Vinnytsya, 21018, Ukraine

I. V. Oliinyk

National Pirogov Memorial Medical University, Vinnytsya
Pirogov str., 56, Vinnytsya, 21018, Ukraine

References

Kanikosky OE, Pavlyk IV, Androsov SI, Ru­ban MM, Babiychuk UV, Gnatuk U, Fedjaga OP, Toma­shevskiy AV. Definition of local resection margins in patients with chronic pancreatitis. 47 World Congress of Surgery. 2017;302.

Ito T, Ishiguro H, Ohara H, et al. Evidence-based clinical practice guidelines for chronic pancreatitis 2015. Journal of Gastroenterology. 2016;51(2):85-92. doi: 10.1007/s00535-015-1149-x

Jorge D Machicado, Vinciane Rebours, Dhiraj Yadav. Epidemiology of Chronic Pancreatitis. Pancrea­pedia: Exocrine Pancreas Knowledge Base. 2016;28. Available from: https://www.pancreapedia.org/reviews/­epidemiology-of-chronic-pancreatitis. doi: 10.3998/panc.2016.13

Kanikovskiy OE, Pavlyk IV, Oliinyk IV. The se­verity of pancreatic fibrosis - independent factor for choosing of type of surgical treatment in patients with chronic pancreatitis. Pancreatology. 2018;18(4):167. doi.org/10.1016/j.pan.2018.05.452

Majumder S, Chari ST. Chronic pancreatitis. Lancet. 2016;387(10031):1957-66.

Anderson MA, Akshintala V, Albers KM, et al. Mechanism, assessment and management of pain in chronic pancreatitis: Recommendations of a multidisciplinary study group. Pancreatology. 2016;16(1):83-94. doi: 10.1016/j.pan.2015.10.015

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How to Cite

1.
Kanikovskyi OE, Pavlyk IV, Oliinyk IV. Algorithm of surgical treatment of complicated forms of chronic pancreatitis. Med. perspekt. [Internet]. 2018Dec.3 [cited 2024Dec.25];23(4(part1):79-84. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145671

Issue

Vol. 23 No. 4(part1) (2018)

Section

CLINICAL MEDICINE

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Copyright (c) 2018 Medicni perspektivi (Medical perspectives)

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