METHOD FOR SURGICAL MANAGEMENT OF CHRONIC PANCREATITIS COMPLICATED BY INTRADUCTAL PANCREATIC AND BILIARY HYPERTENSION Russian patent published in 2022 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to abdominal surgery. Intrapancreatic part of common bile duct is separated from cicatrical adhesions. Then the pancreatic duct is dissected at the level of the pancreatic body at 2.0–2.5 cm, and for formation of pancreatic- and hepaticojejunoanastomosis, a segment of jejunum 12–15 cm long is separated on a vascular pedicle. Distal stump of the separated jejunum is additionally subjected to an end-to-side anastomosis at the level of the lower horizontal part of the duodenum. After forming the anastomoses, the duodenojejunal junction is inspected. In particular case, if acute angle between duodenum and initial jejunum is detected, Treitz ligament is dissected.

EFFECT: method enables decompression of the biliary and pancreatic systems, reducing the risk of postoperative complications, improving the quality of life of the given category of patients due to exclusion from digestion of minimum length segment of small intestine and to ensure physiological flow of bile and pancreatic secretion into duodenum.

1 cl, 1 dwg, 3 ex