title: [Duodenal dystrophy: An interdisciplinary problem].
abstract: Duodenal dystrophy (DD) is the pathological change in the wall of the duodenum, which is caused by chronic inflammation in its ectopic pancreatic tissue. The most common complications of DD are acute or chronic pancreatitis and impaired duodenal patency, which along with severe pain are an indication for surgical treatment. Pancreaticoduodenal resection is recognized as the operation of choice. The paper describes a clinical case demonstrating the efficiency and safety of minimally invasive (laparoscopic) surgical technologies in this category of patients. Resectional interventions of this volume are also shown to be accompanied by the development of pancreatic insufficiency that necessitates continuous enzyme replacement therapy.
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: L V
authors.initials: LV
authors.lastname: Vinokurova
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: I E
authors.initials: IE
authors.lastname: Khatkov
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: R E
authors.initials: RE
authors.lastname: Izrailov
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: D S
authors.initials: DS
authors.lastname: Bordin
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: E A
authors.initials: EA
authors.lastname: Dubtsova
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: K A
authors.initials: KA
authors.lastname: Nikolskaya
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: M A
authors.initials: MA
authors.lastname: Agafonov
authors.affiliation: Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
authors.forename: A V
authors.initials: AV
authors.lastname: Andrianov
mesh_terms: D000328:Adult; D001284:Atrophy; D002828:Choristoma / Q000175:diagnosis / Q000503:physiopathology; D004378:Duodenal Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D004386:Duodenum / Q000473:pathology*; D056947:Enzyme Replacement Therapy; D010188:Exocrine Pancreatic Insufficiency / Q000188:drug therapy / Q000209:etiology; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010179:Pancreas / Q000473:pathology*; D010180:Pancreatectomy / Q000379:methods*; D010194:Pancreatin / Q000627:therapeutic use*; D050500:Pancreatitis, Chronic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D005765:Gastrointestinal Agents; D010194:Pancreatin