Bara T, Butilcă F, György-Fazakas I, Török A, Podeanu-Frandeş Daniela, Bara T
Clinica Chirurgie II, Spitalul Clinic Judeţean Tg. Mureş.
Chirurgia (Bucur). 2003 Jul-Aug;98(4):365-8.
The longitudinal pancreatico-jejunostomy is a commonly used procedure in the management of the chronic pancreatitis with dilated pancreatic duct (Wirsung), however the drainage of the dilated pancreatic duct is realizable with longitudinal Wirsungo-gastrostomy to. We present one clinical case of chronic pancreatitis with dilated pancreatic duct, where the pancreatic drainage was realized with an anastomosis between the dilated Wirsung duct and the posterior wall of the stomach (longitudinal Wirsungo-gastrostomy).
One year after Wirsungo-gastrostomy (postoperative reevaluation of the patient) a general well condition without subjective accuses, ponderal increase and stabile glucidic metabolism was found.
The Wirsungo-gastrostomy could represent an alternative procedure in the management of the chronic pancreatitis with dilated pancreatic duct.
纵向胰空肠吻合术是治疗胰管扩张的慢性胰腺炎常用的手术方法,然而,通过纵向胰管胃造口术也可实现扩张胰管的引流。我们报告一例胰管扩张的慢性胰腺炎临床病例,该病例通过扩张的胰管与胃后壁吻合(纵向胰管胃造口术)实现了胰管引流。
胰管胃造口术后一年(患者术后复查),患者总体状况良好,无主观不适,体重增加,糖代谢稳定。
胰管胃造口术可作为治疗胰管扩张的慢性胰腺炎的一种替代手术方法。