How much does annular pancreas operation want?

Update Date: 2022-05-12 Source: Network

summary

The main indication of cricoid pancreas surgery is gastrointestinal obstruction. To relieve the obstruction of bile duct and duodenum caused by cricoid pancreas, choledochojejunostomy and gastrointestinal anastomosis are often used. Although the operation has certain risks, it is still a relatively safe operation. Some patients with choledochojejunostomy have the risk of recurrent cholangitis caused by anastomotic stenosis. So how much does annular pancreas operation cost?

How much does annular pancreas operation want?

If the cricoid pancreas tissue is thin, the distribution of blood vessels is not much, and there is no close adhesion with the intestinal wall, the cricoid pancreas can be cut off, or partial or total resection can be done to relieve the duodenal obstruction. If the duodenum has become narrow due to long-term compression, the duodenum can be opened longitudinally and sutured horizontally to enlarge the intestinal cavity. The disadvantage of this operation is that it can cause pancreatic injury, pancreatic fistula, pancreatic cyst or duodenal fistula; Sometimes the stricture or obstruction of the intestine can not be completely relieved after operation. Therefore, this kind of operation is not advocated at present.

1. The right rectus abdominis incision is usually used to facilitate intra-abdominal exploration and intra-abdominal operation. 2. During the operation, it can be found that the stomach is dilated, the stomach wall is hypertrophic, the first segment of duodenum is obviously dilated, the second segment of duodenum is surrounded by annular pancreas, and the lumen is narrow. 3. By cutting the anterior lobe of transverse mesocolon at the duodenum attachment, the annular pancreas and the first segment of the dilated duodenum above it can be exposed. The common operation method is to anastomose the first segment of duodenum with Roux-Y jejunal loop, which can be end-to-side or side-to-side anastomoses. Generally, it is through the right colon of the middle colon artery, and the mesenteric space should be closed.

matters needing attention

The family members should encourage the patients to get out of bed more, especially after eating, at least half an hour under the bed and walk about 3000 steps every day. For elderly patients, more exercise also helps to prevent the formation of lower limb thrombosis. Note: the exercise should be accompanied by family members, and appropriate amount is appropriate!