Algorithm of surgical treatment of complicated forms of chronic pancreatitis.

Автор(и)

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

DOI:

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

Ключові слова:

chronic pancreatitis, algorithm of surgical treatment

Анотація

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%.

Біографії авторів

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

Посилання

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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Як цитувати

1.
Kanikovskyi OE, Pavlyk IV, Oliinyk IV. Algorithm of surgical treatment of complicated forms of chronic pancreatitis. Med. perspekt. [інтернет]. 03, Грудень 2018 [цит. за 18, Липень 2024];23(4(part1):79-84. доступний у: https://journals.uran.ua/index.php/2307-0404/article/view/145671

Номер

Том 23 № 4(part1) (2018)

Розділ

КЛІНІЧНА МЕДИЦИНА

Ліцензія

Авторське право (c) 2018 Медичні перспективи

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