Vol. 4, Issue 6 (2015)

Author(s):
V.I. Pylypchuk

Abstract:
The population of Ukraine has very high indicators of chronic pancreatitis occurrence. Due to ineffectiveness of conservative treatment and development of different complications, up to 9% of patients with chronic pancreatitis require surgical intervention. This paper focuses on the analysis of surgical treatment of 120 patients with complicated forms of chronic pancreatitis who received operative therapy at the department of general surgery of the Ivano-Frankivsk Regional Clinical Hospital in 2009-2015. The author offers some generalized statistical data on effectiveness of application of these procedures at the abovementioned medical facility. In particular, attention is paid to such methods of treating chronic pancreatitis complicated with biliary hypertension as Frey’s procedure, Beger procedure, and Bern modification. The author attempts at studying the reasons for postoperative complications in patients with chronic pancreatitis with biliary hypertension, and elaborating the measures to prevent them. For this purpose, the effectiveness of different surgical procedures used for prevention and elimination of chronic pancreatitis complications is analyzed. The author suggests preventive measures he deems reasonable in such cases.