Immediate and late outcomes ofsurgial and endoscopic treatment of patients with chronic pancreatitis with a primary lesion of the head

Abstract

The work is based on the analysis of complex examination and treatment of 39 patients with chronic capitate pancreatitis. All patients with symptoms of obstructive jaundice underwent endoscopic intervention. In 10 (25.6%) cases pancreaticoduodenal resection (PDR) was performed, in 3 (7.7%) patients pancreaticojeunostomia (PJS) was imposed. Resection of the pancreatic head (RPH) was performed in 10 (25.6%) cases. Specific complications occurred only after the PDR and the PJS. The high level of mortality was registered after the PDR - 20%. Length of hospital stay was significantly lower after RPH. The quality of life in 28 (71.8%) patients in the late postoperative period was evaluated by the SF-36 Health Status Survey Questionnaire. The best results were registered in the patients who underwent RPH.

Keywords

• хронический головчатый панкреатит
• эндоскопические и хирургические методы лечения
• непосредственные и отдаленные результаты