REMOTE RESULTS OF SURGICAL TREATMENT OF ACUTE DESTRUCTIVE PANCREATITIS
Journal Title: World Science - Year 2017, Vol 4, Issue 12
Abstract
Long-term results in the period from 1 to 10 years after the operation were studied in 68 patients operated on for acute destructive pancreatitis. Previously, the following operations were performed: drainage of the gland bag and abdominal cavity - 23 patients; cholecystectomy, external draining of the choledochus, drainage of the omentum bag and abdominal cavity – 20 patients, abdominization of the pancreas, omentopancreatopexy, draining of the omentum bag and abdominal cavity - 19 patients, necrsecvestrectomy, draining the stuffing bag and abdominal cavity – 5 patients, subtotal pancreatectomy - 1 patient. Our studies show that in 45 % of patients after surgery for destructive forms of acute pancreatitis in the late period, serious complications develop, requiring either repeated surgical treatment or permanent drug correction. Diabetes mellitus develops in almost 20 % of cases after surgery for acute destructive pancreatitis; about 25 % of patients require repeated surgical intervention for false pancreatic cysts, Virsungov’s duct concrements, duodenostasis, Virsungov’s duct, hypertension in Virsungov’s duct apparently due to stenosis of its distal part.
Authors and Affiliations
I. A. Kryvoruchko, S. N. Teslenko, N. M. Goncharova, A. G. Drozdova, P. V. Svirepo, M. V. Suplichenko, V. F. Gontar
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