WHEN A PATIENT WITH CHRONIC PANCREATITIS NEED TO GO TO A SURGEON? (CLINICAL CASE)

  • Валерий Ремирович Гольцов Clinical hospital “Russian Railways Medicine”; St. Petersburg State Medical University named after I.P. Pavlov 195271, St. Petersburg; 197022, St. Petersburg
  • Владимир Валерьевич Невельский Clinical hospital “Russian Railways Medicine” 195271, St. Petersburg
  • Алексей Владимирович Пьяных Clinical hospital “Russian Railways Medicine” 195271, St. Petersburg
Keywords: Beger, chronic pancreatitis, Frey operation, virsungoectasia

Abstract

In recent years, new methods of surgical treatment of patients with chronic pancreatitis have been developed - the Beger-Frey operation. Clinical observation is an advanced case of chronic calculous pancreatitis with virsungoectasia and virsungolithiasis, which has been treated conservatively for more than 10 years. The patient underwent subtotal resection of the head of the pancreas using the Frey method. A persistent positive effect was observed for 4 years after the operation. Conclusion: If a patient with chronic pancreatitis has a fibrotic altered head of the pancreas, virsungoectasia of more than 5 mm against the background of persistent pain syndrome, it is necessary to refer him to surgical treatment.

Author Biographies

Валерий Ремирович Гольцов, Clinical hospital “Russian Railways Medicine”; St. Petersburg State Medical University named after I.P. Pavlov 195271, St. Petersburg; 197022, St. Petersburg
Mechnikov pr., 27; L’va Tolstogo street, 6-8; Doctor of Medical Sciences, Professor, Head of the Center for Surgery of the Liver and Pancreas of the Private Health Care Institution “Clinical Hospital “Russian Railways Medicine”; Professor, Department of Surgery Faculty
Владимир Валерьевич Невельский, Clinical hospital “Russian Railways Medicine” 195271, St. Petersburg
Mechnikov pr., 27
Алексей Владимирович Пьяных, Clinical hospital “Russian Railways Medicine” 195271, St. Petersburg
Mechnikov pr., 27
Published
2021-01-12
How to Cite
Гольцов, В. Р., Невельский, В. В., & Пьяных, А. В. (2021). WHEN A PATIENT WITH CHRONIC PANCREATITIS NEED TO GO TO A SURGEON? (CLINICAL CASE). University Therapeutic Journal, 2(1), 37-42. Retrieved from https://ojs3.gpmu.org/index.php/Un-ther-journal/article/view/2486
Section
Статьи