Comparative evaluation and technical aspects of pancreatodigestive anastomoses during parenchyma-preserving operations in patients with chronic pancreatitis with ductal hypertension

Abstract

Actuality. The paper presents a new type of pancreatodigestive anastomosis in the form of isolated pancreaticojejunoduodenoanastomosis as the final stage of parenchyma-preserving operation – total longitudinal pancreatowirsungoduodenopapillotomy. Aim . In order to implement the isolated pancreatodigestive anastomosis in clinical practice we performed the parenchyma-preserving surgery in 71 patients with chronic pancreatitis with ductal hypertension. Methods and results. It has been studied that patients with this disease need physiological drainage of pancreatic juice and bile into the duodenum for duodenal phase of digestion. It was found that these requirements are met by developed and implemented in practice isolated pancreaticojejunoduodenostomy with evacuation of pancreatic juice and bile into the duodenum. Conclusion . This indicates that this type of surgery is an alternative to pancreatodigestive anastomosis according to Roux, for which the low drainage of pancreatic juice into jejunum bypassing the duodenum is typical.