The role of double balloon enteroscopy in the diagnosis and treatment of chronic pancreatitis surgery complications

Abstract

Background: To assess double balloon enteroscopy for diagnostics and treatment of pancreatojejunostomy complications after pancreatic resection. Methods: During 2010 till 2016 of 25 patients with suspected of pancreatojejunostomy complications was held transoral (antegrade) double balloon enteroscopic (Fujinon, Japan) inspection. Results: Pancreatojejunostomy inspection was performed in 19 cases (76%). We didn’t have complications after this procedure. In the 12 cases was identified postoperative pancreatojejunostomy complications (stricture and failure of pancreatojejunostomy, anastomotic stricture of intrapancreatic bilioenteric anastomosis, residual stone in pancreatic duct). It was performed 12 double balloon enteroscopy minimally invasive operations of pancreatojejunostomy using a surgical laser. In 4 cases double balloon enteroscopy examinations revealed indications for open surgery. Conclusion: Double balloon enteroscopy has allowed to diagnosis specific complications of pancreatojejunostomy after resection-drainage pancreatic operations. It is a useful tool in the survey of pancreatojejunostomy when we have pain recurrence.