[SURGICAL TACTICS IN CHRONIC PANCREATITIS WITH SIGNS OF BILIARY HYPERTENSION]

Area of Science:

• Gastroenterology
• Hepatobiliary Surgery

Background:

• Chronic pancreatitis frequently presents with biliary hypertension, a condition causing significant patient morbidity.
• Effective management strategies for biliary hypertension in chronic pancreatitis are crucial for improving outcomes.

Purpose of the Study:

• To evaluate the efficacy of various treatment modalities for chronic pancreatitis patients experiencing biliary hypertension.
• To assess the impact of surgical interventions and minimally invasive procedures on biliary pressure.

Main Methods:

• Retrospective analysis of 84 patients diagnosed with chronic pancreatitis and biliary hypertension.
• Surgical interventions included the Frey operation and additional procedures for biliary hypertension elimination.
• Ultrasonographic-guided pancreatic cyst puncture was utilized in one patient.

Main Results:

• Operative interventions were performed in 83 patients, with positive outcomes.
• The Frey operation successfully reduced biliary system pressure in 51 patients.
• Additional procedures for biliary hypertension elimination were successful in 25 patients.

Conclusions:

• Surgical and minimally invasive treatments are effective for managing biliary hypertension in chronic pancreatitis.
• The Frey operation and targeted interventions can significantly alleviate biliary pressure.
• Accurate pressure measurement is essential for guiding treatment decisions.