Method of the operative intervention in patients with chronic pancreatitis with biliary hypertension
DOI:
https://doi.org/10.11603/2414-4533.2018.2.9187Keywords:
chronic pancreatitis, biliary hypertension, monitoring of biliary pressure, Frey operation, mechanical jaundice.Abstract
The aim of the work: to evaluate the immediate and long-term results of the proposed method of surgical treatment of patients with chronic pancreatitis (CP) with biliary hypertension (BH).
Materials and Methods. Results of surgical treatment of 170 patients with complicated forms of CP were analyzed, in 60 (35.3 %) patients the CP was complicated by BH. Operation of Frey was used in 29 (48.3 %) patients, who were divided into two groups: group I – 16 (55.2 %) patients, who were applied the standard method of surgery, group II – 13 (44.8 %) patients, who were used the proposed method of intervention.
Results and Discussion. The performed statistical analysis showed no significant difference between early post-operative complications in patients of both groups of study (p>0.05). Indicators of life quality in patients with chronic pancreatitis with BH i n the remote post-operative period were significantly better than pre-operative ones (p<0.05). However, a credible difference in the indicators of the number of life cases among groups in the distant terms after the operation was not determined (p>0.05). Indicators of physical and psychological health were better in the group of patients who were applied the proposed method of surgery. The proposed method of operative intervention (variant of the reconstructive phase of Frey’s operation, which is to impose pancreatic-entero-duodeno-anastomosis on the isolated insert of the small intestine with hepato-entero-anastomosis on the intestinal loop according to Roux), in patients with CP with BH is physiological, allows us to eliminate reliably the BH phenomena and obtain good results in a delayed post-operative period.
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