ABSTRACT
Chronic pancreatitis complicated by pancreatic duct stones and pancreatic hypertension, post-necrotic cysts and fistulas requires surgical treatment. There are various procedures from minimally invasive to advanced pancreatectomy. Endoscopic interventions and radical open surgery allow to achieve good results. Successful complex treatment of patient with chronic pancreatitis is presented in this report.
Subject(s)
Calculi/surgery , Pancreatic Ducts/surgery , Pancreatitis, Chronic/surgery , Calculi/complications , Humans , Necrosis/complications , Necrosis/surgery , Pancreas/pathology , Pancreas/surgery , Pancreatectomy , Pancreatic Cyst/complications , Pancreatic Cyst/surgery , Pancreatic Diseases/complications , Pancreatic Diseases/surgery , Pancreatic Ducts/pathology , Pancreatic Fistula/complications , Pancreatic Fistula/surgery , Pancreatitis, Chronic/complicationsABSTRACT
AIM: To present 18-year experience of endoscopic transpapillary stenting in patients with pancreatic fistula. MATERIAL AND METHODS: The study included 48 patients with pancreatic fistula resistant to conservative management. Pancreatic stenting was successful in 32 (66.7%) patients. In 30 (93.8%) of them stenting appeared as the final stage of pancreatic fistula treatment. RESULTS: Inclidence of complications after endoscopic treatment was 4.2%. We evaluated long-term results in 23 cases within 8-184 months. There were good results in 21 (91.3%) cases and satisfactory - in 2 (8.7%) cases. We had not unsatisfactory results in our experience.
