Surgical Treatment of Complicated Forms of Chronic Pancreatitis by Open Stenting of Pancreatic Flow
https://doi.org/10.36107/hfb.2019.i3.s261
Abstract
Surgical treatment of chronic pancreatitis (CP) is one of the most complex and unsolved problems of surgical pancreatology to date. The aim of the scientific work was to study the effectiveness of open stenting of the pancreatic duct with the aim of restoring the drainage function of the pancreatic duct system by creating an artificial passage in the parenchyma of the pancreatic head, connecting the lumen of the main pancreatic duct with the lumen of the duodenum. In the course of the study, a new method for the surgical treatment of chronic pancreatitis, which allows to restore the flow of pancreatic juice into the duodenum and effectively stops the acute process in the pancreas, supported by pancreatic ductal hypertension - open pancreatic duct stenting. This technology allows you to quickly stop the pain and inflammation in the pancreas, restore the passage of pancreatic juice into the duodenum, eliminate trophological disorders, reduce the number and severity of postoperative complications, improve the quality of life of patients, eliminate the development of diabetes mellitus immediately after surgery
About the Authors
V. F. Zubritskiy
Main Clinical Hospital of the Ministry of the Interior of the Russian Federation
Russian Federation
Russian Federation
Vladislav F. Zubritskiy
35 Narodnogo opolcheniya str., Moscow, 123060
N. M. Zvolskaya
Moscow State University of Food Production
Russian Federation
Russian Federation
Nina M. Zvolskaya
11 Volokolamskoe highway, Moscow, 125080
A. L. Levchuk
National Medical and Surgical Center named after N.I. Pirogov
Russian Federation
Russian Federation
Aleksandr L. Levchuk
70 Nizhnyaya Pervomayskaya, Moscow, 105203
E. A. Lapteva
Moscow State University of Food Production
Russian Federation
Russian Federation
Elena A. Lapteva
11 Volokolamskoe highway, Moscow, 125080
References
1. Egorov, V.I., Vishnevsky, V.A., Schastny, A.T., Shevchenko, T.V., Zhavoronkova, O.I., Petrov, R.V., Poltoratsky, M.V., & Melekhina, O. V. (2009). Pancreatic head resection in chronic pancreatitis. How to do and what to call? (analytical review). Hirurgiya [Surgery], 8, 57-66.
2. Zabelin, M. V., Zubritsky, V. F., Pokrovsky, K. A., Salnikov, A. A., & Yuri, A. V. (2009). Evaluation of the long-term results of surgical treatment and the quality of life of patients with destructive pancreatitis. Hirurgiya [Surgery], 12, 14-18.
3. Zubritsky, V. F., & Zvolskaya, N. M. (2017). Open prosthetic wirsungoplasty is a new type of surgical intervention in the surgical treatment of chronic pancreatitis. Meditsinskiy vestnik MVD [Medical Bulletin of the Ministry of Internal Affairs], 1, 7-10.
4. Zubritsky, V. F., Levchuk, A. L., & Zvolskaya, N. M. (2019). Otkrytoe stentirovanie pankreaticheskogo protoka v lechenii oslozhnennyh form hronicheskogo pankreatita [Open stenting of the pancreatic duct in the treatment of complicated forms of chronic pancreatitis]. VITA-STAR
5. Ivanov, S. V., Gorbacheva, O. S., Rozberg, E. P., Ivanov, I. S., Yagubov, G. V., Zubritsky, V. F., & Zvolskaya, N. M. (2016) Treatment of patients with chronic pancreatitis - pancreatoduodenal resection or Frey operation. Meditsinskiy vestnik MVD [Medical Bulletin of the Ministry of Internal Affairs],1,15-19.
6. Ivshin, V. G., Starchenko, G. A., & Malafeev, I. V. [et al.] V. ZUBRITSKIY, N. ZVOLSKAYA, A. LEVCHUK, E. LAPTEVA (2008) Percutaneous endoprosthesis replacement of the pancreatic duct. Annaly khirurgicheskoy gepatologii [Annals of surgical hepatology]. 13. (2), 163-164.
7. Kokhanenko, N. Yu., & Artemyev, N. N. (2006). External drainage of the main pancreatic duct in chronic pancreatitis. Vyatskiy meditsinskiy vestnik [Vyatka Medical Bulletin], 2, 126-127.
8. Kokhanenko, N. Yu., & Artemyev, N. N. (2014) Khronicheskiy pankreatit i yego khirurgicheskoye lecheniye [Chronic pancreatitis and its surgical treatment]. LAP LAMBERT Academic Publishing.
9. Krieger, A. G., Kubyshkin, V. A., Karmazanovsky, G. G., Svitin, K. A., Kochatkov, A. V., Berelavichus, S. V., Kozlov, I. A. , Korolev, S. V., & Gorin, D. S. (2012) Postoperative pancreatitis in pancreatic surgery. Khirurgiya. Zhurnal im. N.I. Pirogova [Surgery. Journal named after N.I. Pirogov], 4, 14-19.
10. Kochatkov, A. V., Krieger, A. G., Berelavichus, S. V., Korolev, S. V., Svitina, K. A., & Kosova, I. A. (2012). Pancreatic head resection with longitudinal pancreatojejunoanastomosis (Frey operation) Khirurgiya. Zhurnal im. N.I. Pirogova. [Surgery. Journal named after N.I. Pirogov], 2, 31-36.
11. Kubyshkin, V. A., Kozlov, I. A., & Dalgatov, K. D. (2006). Surgical treatment of chronic pancreatitis with a primary lesion of the pancreatic head. Hirurgiya [Surgery], 5, 57.
12. Kozlov, I. A., Kubyshkin, V. A., Yashina, N. I., Vinokurova, L. V., & Pashovkin, I. T. (2008). The rationale for the choice of surgical treatment of chronic pancreatitis. Eksperimental’naya i klinicheskaya gastroenterologiya [Experimental and clinical gastroenterology], 7, 63-68
13. Kuzin, M.I., Danilov, M. V., & Blagovidov, D. F. (1985/ Khronicheskiy pankreatit [Chronic pancreatitis]. Medicine.
14. Shalimov, A. A., Grubnik, V. V., & Horowitz J., Zaichuk, A. I., Tkachenko, A. I. (2000) Khronicheskiy pankreatit. Sovremennye koncepcii patogeneza, diagnostiki i lecheniya [Chronic pancreatitis. Modern concepts of pathogenesis, diagnosis and treatment]. Zdorov’ya.
15. Di Maio, C. J. (2018). Management of complications of acute pancreatitis. Wolters Kluwer Health, 34, 1-6.
16. Dumonceau, J. M., Delhaye, M., Tringali, A., Dominguez-Munoz, J. E., Poley, J. W., Arvanitaki, M., Costamagna, G., Costea, F., Deviere, J., Eisendrath, P., Lakhtakia, S., Reddy, N., Fockens, P., Ponchon, T., & Bruno, M. (2012). Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE). Clinical Guideline. Endoscopy, 44, 784-796. https://doi.org/10.1055/s-0032-1309840
17. Frank, A. J., Moll, J. M., & Hort, J. F. (1982). A comparison of three ways of measuring pain. Rheumatology and rehabilitation, 21(4), 211-217.
18. Tomita, R., Sakurai, K., Fujisaki, S., & Shibata, M. (2012). Manometric study in patients with or without preserved lower esophageal sphincter 2 years or more after total gastrectomy reconstructed by Roux-en-Y for gastric cancer. Hepatogastroenterology, 59(119), 2339-2342. https://doi.org/10.5754/hge10384
19. Weber, A., Schneider, J., Neu, B., Meining, A., Born, P., Schmid, R.M., & Prinz, C. (2007) Endoscopic stent therapy for patients with chronic pancreatitis: results from a prospective follow-up study. Pancreas, 34(3), 287-294. https://doi.org/10.1097/mpa.0b013e3180325ba6
20. Werner J., & Buchler M.W. (2007). Infektionen im Rahmen der nekrotisierenden Pankreatitis [Infectious complications in necrotizing pancreatitis]. Zentralblatt fur Chirurgie, 132(5), 433-437. https://doi.org/10.1055/s-2007-981272
21. Zeng, Q. S., Wu, C. C., Liu, W., Ye, L. S., Jiang, S., Zhang, Y. H., & Hu, B. (2019). Correction: Endoscopic Placement of a U-Shaped Plastic Stent in Patients With Recurrent Acute Pancreatitis and Incomplete Pancreas Divisum. The American journal of gastroenterology, 114(4), 695. https://doi.org/10.14309/ajg.0000000000000195
22. Zubritskil, V., Belyi, G. A., & Zvolskaya, N. M. (2014). An open extra-anatomic stenting of the main pancreatic duct - a novel procedure in chronic pancreatitis surgery. Hepato-Gastroenterology, 132(61), 125-126.
Review
For citations:
Zubritskiy V.F., Zvolskaya N.M., Levchuk A.L., Lapteva E.A. Surgical Treatment of Complicated Forms of Chronic Pancreatitis by Open Stenting of Pancreatic Flow. Health, Food & Biotechnology. 2019;1(3):21-34. (In Russ.) https://doi.org/10.36107/hfb.2019.i3.s261
Views:
6763
Email this article 