[Endoscopic transpapillary interventions in chronic pancreatitis]. 2014

I M Shevchuk, and V I Pylypchuk, and S M Hedzyk

The results of treatment of 12 patients, suffering complicated forms of chronic pancreatitis (CHP), in a General Surgery Department of Ivano-Frankivsk regional clinical hospital in 2011 - 2013 yrs, were analyzed. There were 10 (83.3%) men and 2 (16.7%) women, ageing 22-57 yrs old. Previously 6 (50%) patients were treated for an acute necrotic pancreatitis. The changes in a pancreatic duct (PD) type IV in accordance to Cambridge classification was established in 7 patients, type III--in 3, type IIa--in 2, type IIb--in 1. Virsungolitoextraction with previous pneumodilatation without stenting of PD was accomplished in 4 patients, stenting with pneumodilatation for stricture of PD--in 6, stenting for defect in PD--in 2. Good and satisfactory results were achieved in all the patients. The pain syndrome was absent in 10 (83.3%) patients, 2 (16.7%)--suffered from periodic moderate pain in epigastric region. Endoscopic interventions on the PD must be considered the first stage of surgical treatment in patients with CHP. They must be applied wider due to their reduced invasiveness than open procedures. Open operative intervention must be considered as a second stage of surgical treatment in patients with previous unfair or ineffective endoscopic treatment.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010146 Pain An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS. Suffering, Physical,Ache,Pain, Burning,Pain, Crushing,Pain, Migratory,Pain, Radiating,Pain, Splitting,Aches,Burning Pain,Burning Pains,Crushing Pain,Crushing Pains,Migratory Pain,Migratory Pains,Pains, Burning,Pains, Crushing,Pains, Migratory,Pains, Radiating,Pains, Splitting,Physical Suffering,Physical Sufferings,Radiating Pain,Radiating Pains,Splitting Pain,Splitting Pains,Sufferings, Physical
D010183 Pancreatic Ducts Ducts that collect PANCREATIC JUICE from the PANCREAS and supply it to the DUODENUM. Duct of Santorini,Duct of Wirsung,Duodenal Papilla, Minor,Wirsung's Duct,Accessory Pancreatic Duct,Accessory Pancreatic Duct of Santorini,Main Pancreatic Duct,Santorini's Duct,Accessory Pancreatic Ducts,Duct, Accessory Pancreatic,Duct, Main Pancreatic,Duct, Pancreatic,Duct, Santorini's,Duct, Wirsung's,Ducts, Pancreatic,Main Pancreatic Ducts,Minor Duodenal Papilla,Minor Duodenal Papillas,Pancreatic Duct,Pancreatic Duct, Accessory,Pancreatic Duct, Main,Pancreatic Ducts, Accessory,Papilla, Minor Duodenal,Santorini Duct,Wirsung Duct,Wirsungs Duct
D002760 Cholangiopancreatography, Endoscopic Retrograde Fiberoptic endoscopy designed for duodenal observation and cannulation of VATER'S AMPULLA, in order to visualize the pancreatic and biliary duct system by retrograde injection of contrast media. Endoscopic (Vater) papillotomy (SPHINCTEROTOMY, ENDOSCOPIC) may be performed during this procedure. ERCP,Endoscopic Retrograde Cholangiopancreatography,Retrograde Cholangiopancreatography, Endoscopic,Cholangiopancreatographies, Endoscopic Retrograde,Endoscopic Retrograde Cholangiopancreatographies,Retrograde Cholangiopancreatographies, Endoscopic
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D015607 Stents Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting. Stent
D016717 Sphincterotomy, Endoscopic Incision of SPHINCTER OF ODDI or VATER'S AMPULLA performed by inserting a sphincterotome through DUODENOSCOPE often following or performed during ERCP (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY). Endoscopic Papillotomy,Endoscopic Sphincterotomy,Endoscopic Biliary Sphincterotomy,Papillotomy, Endoscopic,Biliary Sphincterotomies, Endoscopic,Biliary Sphincterotomy, Endoscopic,Endoscopic Biliary Sphincterotomies,Endoscopic Papillotomies,Endoscopic Sphincterotomies,Papillotomies, Endoscopic,Sphincterotomies, Endoscopic,Sphincterotomies, Endoscopic Biliary,Sphincterotomy, Endoscopic Biliary

Related Publications

I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
January 2015, Khirurgiia,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
May 1986, Deutsche medizinische Wochenschrift (1946),
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
August 2006, Klinichna khirurhiia,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
August 2015, Klinichna khirurhiia,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
January 2015, Surgical endoscopy,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
January 2014, Vestnik khirurgii imeni I. I. Grekova,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
July 2014, The American journal of gastroenterology,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
January 1998, Scandinavian journal of gastroenterology. Supplement,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
June 2013, Klinichna khirurhiia,
I M Shevchuk, and V I Pylypchuk, and S M Hedzyk
April 1968, Minerva chirurgica,
Copied contents to your clipboard!