[The surgical treatment of chronic duodenal obstruction in combination with chronic pancreatitis and tumors of the pancreaticoduodenal area].
Results of 102 surgical interventions were analyzed. In 39 patients chronic duodenal obstruction was associated with benign diseases, 63 patients had malignant tumours. The chronic duodenal obstruction resulted from diseases in the pancreatoduodenal area in 80 patients, in 22 patients it proved to be the cause of chronic pancreatitis. The adequate surgical correction of the duodenal obstruction is believed to be sufficient for normalizing the pancreas functions in patients with primary chronic duodenal obstruction. Direct surgical interventions are preferable for secondary chronic duodenal obstruction. Prophylactic formation of gastroenterostomy during the biliodigestive surgery can relieve the symptoms of the developing duodenal obstruction and allows to avoid another operation at the advanced stage of chronic duodenal obstruction.
Kasum'ian
S A
SA
Alibegov
R A
RA
Snytko
N P
NP
D000328:Adult; D000368:Aged; D001662:Biliary Tract Surgical Procedures; D002779:Cholestasis / Q000150:complications / Q000601:surgery; D002908:Chronic Disease; D004379:Duodenal Neoplasms / Q000150:complications / Q000601:surgery*; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery*; D005260:Female; D005763:Gastroenterostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery*; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000601:surgery; D010195:Pancreatitis / Q000150:complications / Q000601:surgery*