hrvatski

Resekcije pankreasa u liječenju kroničnog pankreatitisa

Chronic pancreatitis which is characterized by progressive and irreversible loss of pancreatic function is unaffected by any type of treatment. However resections are widely used, peculiarly if malignancy covered by chronic pancreatitis could not be excluded or in patients with intractable pain without pancreatic duct dilatation. We describe here our experience with 11 resections (5 Whipple's, 2 pylorus conserving and 4 distal resections) for chronic pancreatitis. The main indication for duodenopancreatectomy was suspicion of pancreatic tumor. Operation and definitive histological examination excluded cancer in 11 of them. Contrary, in a patient that was submitted to operation due to preoperative diagnosis of chronic pancreatitis, intraoperative high suspicion of pancreatic tumor existed that was confirmed histologically. The histological diagnosis was cancer covered by focal chronic pancreatitis. In spite of modern diagnostic tool (USG, CT, ERCP, DSA) sometimes it is hard to exclude cancer in the pancreatic head. When the diagnosis is in doubt we recommend duodenopancreatectomy as the operation of choice.

Kronični pankreatitis; Resekcije gušterače

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