Abstract
In this retrospective study basic morphologic, clinical and epidemiological features of pancreatic head lesions in patients with and without concomitant chronic opisthorchiasis are compared. The analysis of 63 consecutive pancreaticoduodenectomies performed at out low-volume center from 2007 to 2019 revealed increased rate of opisthorchiasis being present simultaneously with neoplastic and benign pancreatic head lesions in rural population which is due to dietary habits of suburbanite. Active cholangitis in comorbid patients was seen 13,6 times more often when compared with “pure” lesion. Daily amount of bile (in patients with biliary drainage tubes) was on average 105 ml more in the group of patients with chronic opisthorchiasis. Surprisingly, we didn’t observe some morphologic features we expected in Opisthorchis felineus group. The rates of hard pancreatic stumps and wide pancreatic ducts were equal in both group of patients. However, further studies should reveal, if O. felineus is independent risk factor for biliary and/or pancreatic fi stula.
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