Retrospective assessment of the possibilities of minimally invasive interventions in cases of complicated chronic pancreatitis
https://doi.org/10.16931/1995-5464.2022-3-108-113
Abstract
The paper presents a description of long-term minimally invasive treatment of a patient with chronic biliary pancreatitis. The treatment consisted in stenting the pancreatic duct with plastic stents, their replacement, bougienage of strictures, drainage of a festering pancreatic pseudocyst, and lithoextraction from the common bile duct. A multidisciplinary assessment of gradually developing complications was not performed. No discussions with pancreatic surgeons on indications for radical resection intervention were held. This treatment strategy led to the syndrome of chronic abdominal pain, recurrent complications after endoscopic minimally invasive treatment, as well as to a significant deterioration in the quality of life. The patient developed depression. Clinical observation clearly demonstrates that it is only possible to determine the optimal timing and indications for resection intervention on the pancreas in complicated chronic pancreatitis within the framework of an interdisciplinary approach.
About the Authors
O. F. Vorontsov
Sana Klinikum Hof; Volgograd State Medical University of the Ministry of Healthcare of the Russian Federation, the Department of Faculty Surgery
Germany
Germany
Oleg F. Vorontsov – Doct. of Sci. (Med.), Director of the Pancreatic Cancer Center, Chief Senior Surgeon of the Clinic for General, Oncological, and Thoracic Surgery, Associate Professor, Department of Faculty Surgery
Eppenreuther str., 9, Hof, 95032, Germany
1, Pavshikh Bortsov sq., Volgograd, 400131, Russian Federation
Th. Mueller
Sana Klinikum Hof
Germany
Germany
Thomas Mueller – Dr. med., Chief Senior Gastroenterologist (Endoscopist) of the Clinic of Gastroenterology, Hepatology, Hematology, Therapeutic Oncology, and Infectious Diseases
Eppenreuther str., 9, Hof, 95032, Germany
B. Radeleff
Sana Klinikum Hof
Germany
Germany
Boris Radeleff – Doct. of Sci. (Med.), Professor, Director of the Clinic for Diagnostic and Interventional Radiology
Eppenreuther str., 9, Hof, 95032, Germany
I. V. Mikhin
Volgograd State Medical University of the Ministry of Healthcare of the Russian Federation, the Department of Faculty Surgery
Russian Federation
Russian Federation
Igor V. Mikhin – Doct. of Sci. (Med.), Professor, Head of the Department of Faculty Surgery
1, Pavshikh Bortsov sq., Volgograd, 400131, Russian Federation
C. Graeb
Sana Klinikum Hof
Germany
Germany
Christian Graeb – Doct. of Sci. (Med.), Professor, Director of the Clinic for General, Oncological, and Thoracic Surgery
Eppenreuther str., 9, Hof, 95032, Germany
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Vorontsov O.F., Mueller T., Radeleff B., Mikhin I.V., Graeb C. Retrospective assessment of the possibilities of minimally invasive interventions in cases of complicated chronic pancreatitis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2022;27(3):108-113. (In Russ.) https://doi.org/10.16931/1995-5464.2022-3-108-113
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