[Use of compressive biliary-digestive anastomoses in surgical treatment of chronic pancreatitis complicated by biliary hypertension and obstructive jaundice].
For the 1996-2000 yrs period 47 patients with complicated forms of chronic pancreatitis and signs of obturation jaundice were operated on in the clinic. In 23 (49%) patients the intervention on biliary ducts was performed: in 4 (8.5%)--hepaticojejunoanastomosis was formatted, in 3 (6.4%)--cholecystoenterostomy was done, in 2 (4.3%)--pancreatoduodenal resection and in 14 (29.8%)--supraduodenal choledochoduodenostomy were performed. Compression device was used while performing biliodigestive anastomosis in 6 (12.8%) patients. Application of the elaborated method of the compression biliodigestive anastomosis formation have permitted to reduce the operative intervention duration, to lower the postoperative complications occurrence and to improve the late follow-up result.
Todurov
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Khomiak
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D001652:Bile Ducts / Q000098:blood supply* / Q000503:physiopathology / Q000601:surgery*; D002763:Cholecystectomy / Q000295:instrumentation / Q000379:methods*; D002779:Cholestasis / Q000150:complications*; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000503:physiopathology; D008099:Liver / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000295:instrumentation / Q000379:methods*; D010195:Pancreatitis / Q000150:complications* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome