CLINICAL EXPERIENCE IN THE TREATMENT OF PANCREATORRHAGHIA IN PATIENTS WITH COMPLICATED CHRONIC PANCREATITIS

Abstract

Bleeding, the source of which is in the pancreas or adjacent structures, is a rare, usually fatal manifestation of chronic pancreatitis.
 The aim of the study was to analyze the clinical experience of treatment of patient with chronic pancreatitis complicated by late pancreatorrhaghia (hemosuccus pancreaticus). 
 Materials and methods. During 2000-2021, surgical treatment of 249 patients with complicated chronic pancreatitis was performed. Pancreatorrhaghia occurred in 6 (2.4%) patients.
 Discussion. A presentation of a clinical case of bleeding in the lumen of the gastrointestinal tract in a patient who underwent pancreatoduodenal resection a year ago for complicated fibro-degenerative chronic pancreatitis. Bleeding arose from the inferior pancreatoduodenal artery, which was cut through the mattress suture after heavy exercise, which caused severe pancreatorrhaghia.
 Conclusions. To prevent the occurrence of pancreatorrhaghia in the postoperative period, the most effective way is to suture the vessels in the parenchyma of the pancreas polydioxanon and filling the defects of the pancreatic duct with fibrin or cyanoacrylic glue. Although this issue needs further study.