Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment : Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy
Joint Authors
Egorov, V. I.
Starostina, N. S.
Petrov, R. V.
Sazhin, A. V.
Vankovich, A. N.
Stepanova, E. A.
Butkevich, A. Ts.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-17, 17 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-05
Country of Publication
Egypt
No. of Pages
17
Main Subjects
Abstract EN
Background.
The term “paraduodenal pancreatitis” (PP) was proposed as a synonym for duodenal dystrophy (DD) and groove pancreatitis, but it is still unclear what organ PP originates from and how to treat it properly.
Objective.
To assess the results of different types of treatment for PP.
Method.
Prospective analysis of 62 cases of PP (2004–2013) with histopathology of 40 specimens was performed; clinical presentation was assessed and the results of treatment were recorded. Results.
Preoperative diagnosis was correct in all the cases except one (1.9%).
Patients presented with abdominal pain (100%), weight loss (76%), vomiting (30%), and jaundice (18%).
CT, MRI, and endoUS were the most useful diagnostic modalities.
Ten patients were treated conservatively, 24 underwent pancreaticoduodenectomies (PD), pancreatico- and cystoenterostomies (8), Nakao procedures (5), duodenum-preserving pancreatic head resections (5), and 10 pancreas-preserving duodenal resections (PPDR) without mortality.
Full pain control was achieved after PPRDs in 83%, after PDs in 85%, and after PPPH resections and draining procedures in 18% of cases.
Diabetes mellitus developed thrice after PD.
Conclusions.
PD is the main surgical option for PP treatment at present; early diagnosis makes PPDR the treatment of choice for PP; efficacy of PPDR for DD treatment provides proof that so-called PP is an entity of duodenal, but not “paraduodenal,” origin.
American Psychological Association (APA)
Egorov, V. I.& Vankovich, A. N.& Petrov, R. V.& Starostina, N. S.& Butkevich, A. Ts.& Sazhin, A. V.…[et al.]. 2014. Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment : Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy. BioMed Research International،Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-452755
Modern Language Association (MLA)
Egorov, V. I.…[et al.]. Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment : Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy. BioMed Research International No. 2014 (2014), pp.1-17.
https://search.emarefa.net/detail/BIM-452755
American Medical Association (AMA)
Egorov, V. I.& Vankovich, A. N.& Petrov, R. V.& Starostina, N. S.& Butkevich, A. Ts.& Sazhin, A. V.…[et al.]. Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment : Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-17.
https://search.emarefa.net/detail/BIM-452755
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-452755