Paraduodenal Pancreatitis: Features of Diagnosis and Treatment, Non-Standard Clinical Cases

• Main Authors: Bakunets, P. (Author), Bakunets, Y. (Author), Dronov, O. (Author), Kovalska, I. (Author), Prytkov, F. (Author)
• Format: Article
• Language: English
• Published: Professionalnye Izdaniya 2022
• Subjects: Pancreatic ectopia; Pancreatoduodenal resection; Paraduodenal pancreatitis
• Online Access: View Fulltext in Publisher

 Purpose. To improve the results of treatment of patients with paraduodenal pancreatitis by improving the diagnostic algorithm and development of treatment tactics. Materials and methods. The analysis of the results of examination and treatment of 12 patients with paraduodenal pancreatitis from 2008 to 2021 was performed. Of the total number of sick men, 9 (75%) and 3 (25%) were women. Among patients who underwent surgical treatment, pancreatoduodenal resection was performed in 9 (75%) cases and pancreatic-preserving duodenal resection was performed in 3 (25%) cases. Results. Characterizing the postoperative period, it should be noted that after surgery 2 (22.2%) patients out of 9 continued to abuse alcohol and 4 (44.4%) out of 9 continued to smoke. Exocrine insufficiency persisted in 4 (50%) of the 8 patients in whom it was observed before surgery, but it should be noted that the number of enzymes in these patients is significantly reduced. Endocrine insufficiency was observed in 6 (50%) patients among all operated patients, whereas before surgery diabetes was detected in 5 (41.7%) patients, but the amount of insulin administration in most of these patients also decreased. Pain was acquired in all operated patients. Conclusions. Cicatricial induration and the appearance of cysts in the еctopic pancreas is explained by the course of chronic pancreatitis. Long-term conservative treatment of the pure form of paraduodenal pancreatitis can lead to the development and progression of chronic pancreatitis in orthotopic software. Pancreatoduodenal resection is an excessive treatment of the pure form of paraduodenal pancreatitis, because it removes the unchanged parenchyma of the head of the pancreas. © 2022, Professionalnye Izdaniya. All rights reserved.