Duodenum-sparing resection of the pancreatic head combined with pancreatogastroanastomosis in the treatment of chronic pancreatitis--surgical technique.
Chronic pancreatitis is defined as progressively developing disease which reduces exocrine parenchyma and decreasing exocrine capacity of the pancreas. The disease is commonly manifested by recurrent attacks of severe and often incapacitating upper abdominal and back pain. The goal of surgical therapy is pain relief and unblocking of the stenosis of the common bile duct and duodenum. Our method of solving this problem is a duodenum sparing resection of the pancreatic head followed by simple reconstruction of the gastrointestinal tract using pancreatogastroanastomosis. All unnecessary anastomoses are thus reduced and the risk of anastomotic leak is minimized. The substantial advantage of this operation is the removal of the pancreatic head where the source of symptoms related to chronic pancreatitis is localized.
Ruzicka
M
M
Surgical Clinic, University Hospital, Brno, Bohunice.
Dite
P
P
Konecna
D
D
D015746:Abdominal Pain / Q000503:physiopathology; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods*; D001416:Back Pain / Q000503:physiopathology; D002908:Chronic Disease; D003137:Common Bile Duct Diseases / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D004378:Duodenal Diseases / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D005753:Gastric Mucosa / Q000601:surgery; D006801:Humans; D010179:Pancreas / Q000601:surgery*; D010180:Pancreatectomy / Q000009:adverse effects / Q000379:methods*; D010183:Pancreatic Ducts / Q000601:surgery; D010195:Pancreatitis / Q000503:physiopathology / Q000601:surgery*; D012307:Risk Factors; D013270:Stomach / Q000601:surgery*; D013536:Suture Techniques