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[Clinical forms and surgical strategy for chronic pancreatitis]
I A Mirzoev1, R T Medzhidov1, A Z Abdullaeva1
1Dagestan State Medical University, Makhachkala, Russia.
Khirurgiia
|February 21, 2023
Summary
This study analyzed treatment outcomes for 434 chronic pancreatitis patients, detailing various morphological types and complications. Surgical interventions in 186 patients resulted in an 11.8% complication rate and 2.2% mortality.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Gastroenterology
- Pancreatic Diseases
Context:
- Chronic pancreatitis (CP) presents diverse morphological subtypes and pathological changes.
- Accurate diagnosis and tailored treatment strategies are crucial for managing CP.
- Understanding the dynamics of CP is essential for effective patient management and monitoring.
Purpose:
- To analyze treatment outcomes in patients with various forms of chronic pancreatitis.
- To correlate morphological classifications with clinical presentation and treatment efficacy.
- To evaluate the safety and effectiveness of diverse surgical and endoscopic interventions for CP.
Summary:
- A cohort of 434 chronic pancreatitis patients underwent extensive examinations to classify morphology and monitor disease progression.
- Morphological types A, B, and C were identified, with high prevalence of ductal changes (enlargement, narrowing) and parenchymal alterations (induration, heterogeneous structure).
- Surgical interventions were performed in 186 patients, including various resections, drainage procedures, and anastomosis techniques, with a 2.2% mortality rate and 11.8% complication rate.
Impact:
- Provides comprehensive data on the morphological spectrum of chronic pancreatitis and associated findings.
- Offers insights into the outcomes of a wide range of surgical and endoscopic treatments for chronic pancreatitis.
- Contributes to evidence-based guidelines for the management of complex chronic pancreatitis cases.
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