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

Abstract

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.