Structural changes in the organs of the pancreatobiliary system and the state of the pancreatobiliary ducts in patients with chronic pancreatitis of biliary origin

Abstract

Aim to study structural changes in the organs of the pancreatobiliary system and pancreatobiliary ducts in patients with chronic pancreatitis (CP) of biliary genesis complicated by obstructive jaundice. Material and methods. 42 patients with CP of biliary genesis complicated by obstructive jaundice, aged - (60.5 ± 1.7) years, were examined, among them women prevailed - 59.5%. Used instrumental methods of research: ultrasound (USG) and endoscopic retrograde cholangiopancreatography (ERCP). Results. According to the ultrasound data, patients had an increase in the size of the pancreas (57.1%), liver (73.8%) and changes in their echostructure. Dilation of the biliary tract was detected in 88.1% of cases, signs of cholangitis in a third of patients. When ERCP choledocholithiasis was detected in 59.5% of cases, narrowing of the terminal portion of the choledochus - in 20.0%, stenotic papillitis - in 22.9%. Changes in the virsungian duct were detected in 16.7% of the patients, and virsungolithiasis in 8.3%. Minimally invasive treatment methods (sphincterotomy and litoextraction) were performed in 81.5% of cases. Conclusion For patients with CP of biliary genesis, complicated by obstructive jaundice, the size and structure of the pancreas and the organs of the hepatobiliary system are characteristic; dilatation of the common bile duct, due to partial or complete obstruction of its calculus and accompanied by cholangitis.