hepatoАнналы хирургической гепатологииAnnaly khirurgicheskoy gepatologii = Annals of HPB Surgery1995-54642408-9524НЭИКОН ИСП10.16931/1995-5464.2016153-58hepato-170Research ArticleПОДЖЕЛУДОЧНАЯ ЖЕЛЕЗАPANCREASДВУХБАЛЛОННАЯ ЭНТЕРОСКОПИЯ В ДИАГНОСТИКЕ И ЛЕЧЕНИИ ОСЛОЖНЕНИЙ ХИРУРГИИ ХРОНИЧЕСКОГО ПАНКРЕАТИТАDOUBLE BALLOON ENTEROSCOPY IN THE DIAGNOSTICS AND TREATMENT OF CHRONIC PANCREATITIS SURGERY COMPLICATIONSВоробейА. В.VorobeyA. V.

Воробей Александр Владимирович – доктор  медицинских наук,  профессор, член-корр. НАН Беларуси,  заведующий  кафедрой хирургии   БелМАПО.

Vorobey Aliaksander  Vladimirovich  – Doct.  of  Med.  Sci.,  Professor,  Corresponding-member  of  the  BNAS, Head of the Chair of Surgery of the BMAPE.

dept-surg@hotmail.comШулейкоА. Ч.ShuleykoA. C.

Шулейко Анатолий Чеславович – кандидат медицинских наук, доцент кафедры  хирургии.

220013, Минск, ул. П. Бровки, д. 3/3

Shuleyko Anatoly Cheslavovich – Cand.  of Med. Sci., Associate Profeccor.

ОрловскийЮ. Н.OrlovskyYu. N.

Орловский Юрий Николаевич – кандидат медицинских наук, ассистент кафедры хирургии.

220013, Минск, ул. П. Бровки, д. 3/3

Orlovsky Yury Nikolaevich  – Cand. of Med. Sci., Assistant.

ВижинисЕ. И.VizhinisYe. I.

Вижинис Ежи Ионас – кандидат медицинских наук, доцент кафедры хирургии.

220013, Минск, ул. П. Бровки, д. 3/3

Vizhinis Yezhi Ionas – Cand.  of Med.  Sci., Associate Profeccor  of the Chair of Surgery.

ЛагодичН. А.LagodichN. A.

Лагодич Наталья Анатольевна – врач-эндоскопист эндоскопического отделения  Минской областной  клинической больницы.

223040, Минская обл., Минский р-н, п. Лесной, д. 1

Lagodich Natalia Anatolievna – Endoscopist  of the Endoscopic Department.

Белорусская медицинская академя последипломного образованияБеларусьBelarusian Medical Academy of Postgraduate EducationBelarusМинская областная клиническая больницаБеларусьMinsk Regional Clinical Hospital, Endoscopy UnitBelarus2016240220182115358Copyright © Воробей А.В., Шулейко А.Ч., Орловский Ю.Н., Вижинис Е.И., Лагодич Н.А., 20182018Воробей А.В., Шулейко А.Ч., Орловский Ю.Н., Вижинис Е.И., Лагодич Н.А.Vorobey A.V., Shuleyko A.C., Orlovsky Y.N., Vizhinis Y.I., Lagodich N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://hepato.elpub.ru/jour/article/view/170Цель

Цель. Оценить  диагностические и лечебные  возможности двухбаллонного  эндоскопического исследования панкреатоеюноанастомоза после операций  на поджелудочной  железе.

Материал и методы

Материал и методы. В период с 2010 по 2015 г. 20 пациентам с подозрением на патологию в зоне сформированного на петле тощей  кишки, выделенной по Ру, панкреатоеюноанастомоза проведен  трансоральный (антеградный) осмотр соустья двухбаллонным  энтероскопом.

Результаты

Результаты. Зону панкреатоеюноанастомоза удалось осмотреть в 17 (85%) наблюдениях.  Осложнений не было. В  11  наблюдениях   выявлены   патологические изменения  в  зоне  панкреатоеюноанастомоза  – стриктуры и несостоятельность анастомоза, стриктура желчеотводящего интрапанкреатического анастомоза, остаточные панкреатолиты. С помощью  двухбаллонной  энтероскопии выполнено 9 миниинвазивных операций  в зоне панкреатоеюноанастомоза с использованием хирургического лазера. По результатам энтероскопии в 4 наблюдениях определены показания к повторным открытым  операциям.

Aim

Aim. To assess double balloon enteroscopy for diagnostics and treatment of pancreatojejunostomy complications  after pancreatic  surgery.

Material  and Methods

Material  and Methods.  For   the  period  2010–2015   twenty  patients   with  suspected  disorders  in  the  area  of pancreatojejunostomy underwent  transoral (antegrade)  examination  of the pancreatojejunostomy using double balloon enteroscopy.

Results

Results. Pancreatojejunostomy was examined  in  17 cases (85.0%).  There  were no  complications. In  the  11 cases postoperative  complications   of pancreatojejunostomy  were identified  including  stricture  and  failure  of pancreatojejunostomy, anastomotic  stricture of intrapancreatic bilioenteric anastomosis, residual stones in pancreatic duct. It was performed  9 minimally invasive operations  in the area of pancreatojejunostomy using double balloon enteroscopy and surgical laser. Herewith in 4 cases indications for open surgery were established.

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The authors declare that there are no conflicts of interest present.