The results of surgical treatment of chronic pancreatitis complicated by chronic duodenal obstruction
https://doi.org/10.17238/2072-3180-2026-1-40-47
Abstract
Materials and methods of research. The work is a cross-sectional retrospective study. The medical records of the operated patients were analyzed. The first group consisted of 26 people operated according to the original method, the second group included 40 people operated according to the standard Frey surgical procedure.
Results. Among the complications in the early postoperative period, bleeding was most often noted: 30,8 % in the first group and 40,0 % in the second, while anastomosis failure was determined in 19,2 % and 20,0 %, abscess – in 7,7 % and 10,0 %, respectively. In the first group, 3,8 % of patients retained the symptoms of chronic duodenal obstruction after 9 months, while in the second group – in 20,0 %. The level of quality of life in patients 9 months after surgery was higher in the first group compared with the second.
Discussion. The advantages of the proposed technique are high efficiency in relieving pain, eliminating symptoms of duodenal compression, and preventing further development of duodenal obstruction while fully preserving the integrity and functions of the duodenum.
Conclusion. The proposed surgery technique has shown good early and long-term results in the treatment of chronic pancreatitis.
About the Authors
V. L. Korobka
Rostov State Medical University of the Ministry of Health of the Russian Federation; GBU RO "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Korobka Vyacheslav Leonidovich – Doctor of Medical Sciences, Professor, Head of the Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology
344022, lane. Nakhichevan, 29, Rostov-on-Don
M. V. Gonchar
Rostov State Medical University of the Ministry of Health of the Russian Federation; GBU RO "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Gonchar Mikhail Viktorovich – Assistant Professor of the Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology
344022, lane. Nakhichevan, 29, Rostov-on-Don
R. V. Korobka
Rostov State Medical University of the Ministry of Health of the Russian Federation; GBU RO "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Korobka Roman Vyacheslavovich – Doctor of Medical Sciences, Associate Professor, Associate Professor of the Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology; Director of the Center for Surgery and Donor Coordination
344022, lane. Nakhichevan, 29, Rostov-on-Don
A. B. Lageza
Rostov State Medical University of the Ministry of Health of the Russian Federation; GBU RO "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Lageza Arkadiy Borisovich – Candidate of Medical Sciences, Associate Professor
344022, lane. Nakhichevan, 29, Rostov-on-Don
S. V. Tolstopyatov
Rostov State Medical University of the Ministry of Health of the Russian Federation; GBU RO "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Tolstopyatov Sergey Vladimirovich – Candidate of Medical Sciences, Surgeon, Assistant of the Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology
344022, lane. Nakhichevan, 29, Rostov-on-Don
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Review
For citations:
Korobka V.L., Gonchar M.V., Korobka R.V., Lageza A.B., Tolstopyatov S.V. The results of surgical treatment of chronic pancreatitis complicated by chronic duodenal obstruction. Moscow Surgical Journal. 2026;(1):40-47. (In Russ.) https://doi.org/10.17238/2072-3180-2026-1-40-47
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