DOUBLE BALLOON ENTEROSCOPY IN THE DIAGNOSTICS AND TREATMENT OF CHRONIC PANCREATITIS SURGERY COMPLICATIONS

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

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. 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.

Conclusion. Double  balloon  enteroscopy  is perspective  method  in  diagnosis  and  minimally  invasive correction  of complications  of pancreatojejunostomy. It is a useful tool in the survey of pancreatojejunostomy when we have pain recurrence  after conventional  surgery.

pancreas, chronic pancreatitis, double balloon enteroscopy, complications, pancreatojejunostomy, surgical laser

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