{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T22:40:32Z","timestamp":1786660832380,"version":"build-2736575974"},"reference-count":13,"publisher":"ALUNA","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Aim: To improve treatment outcomes of patients with unresectable pancreatic head cancer complicated by obstructive jaundice by improving the tactics and techniques of surgical interventions.\nMaterials and Methods: Depending on the treatment tactics, patients were randomised to the main group (53 people) or the comparison group (54 people). The results of correction of obstructive jaundice by Roux-en-Y end to side hepaticojejunostomy (main group) and common bile duct prosthetics with self-expanding metal stents (comparison group) were compared.\nResults: The use of self-expanding metal stents for internal drainage of the biliary system compared to hepaticojejunostomy operations reduced the incidence of postoperative complications by 29.9% (\u03c72=13.7, 95% CI 14.38-44.08, p=0.0002) and mortality by 7.5% (\u03c72=4.16, 95% CI -0.05-17.79, p=0.04). Within 8-10 months after biliary stenting, 11.1% (6\/54) of patients developed recurrent jaundice and cholangitis, and another 7.4% (4\/54) of patients developed duodenal stenosis with a tumour. These complications led to repeated hospitalisation and biliary restentation in 4 (7.4%) cases, and duodenal stenting by self-expanding metal stents in 4 (7.4%) patients.\nConclusions: The choice of biliodigestive shunting method should be selected depending on the expected survival time of patients. If the prognosis of survival is up to 8 months, it is advisable to perform prosthetics of the common bile duct with self-expanding metal stents, if more than 8 months, it is advisable to perform hepaticojejunal anastomosis with prophylactic gastrojejunal anastomosis.<\/jats:p>","DOI":"10.36740\/wlek202404102","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T18:58:15Z","timestamp":1718305095000},"page":"629-634","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of the clinical effectiveness of hepaticojejunostomy and self-expanding metal stents for bypassing the bile ducts in patients with unresectable pancreatic head cancer complicated by obstructive jaundice"],"prefix":"10.36740","volume":"77","author":[{"given":"Borys H.","family":"Bezrodnyi","sequence":"first","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihor V.","family":"Kolosovych","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihor V.","family":"Hanol","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ihor V.","family":"Cherepenko","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktor P.","family":"Slobodianyk","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yevhenii O.","family":"Nesteruk","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2024]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Mavroeidis VK, Russell TB, Clark J et al. Pancreatoduodenectomy for suspected malignancy: nonmalignant histology confers increased risk of serious morbidity. Ann R Coll Surg Engl. 2023;105(5):446-454. doi: 10.1308\/rcsann.2022.0055.","DOI":"10.1308\/rcsann.2022.0055"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"2. Beger HG, B\u00fcchler MW, Hruban RH. The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery. Fourth Edition: Wiley Blackwell, USA. 2023, p.1340.","DOI":"10.1002\/9781119876007"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"3. Neoptolemos J., Urrutia R, Abbruzzese JL et al. Pancreatic Cancer. Second Edition: Springer. 2018, p. 1661.","DOI":"10.1007\/978-1-4939-7193-0"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Beger HG, Mayer B, Vasilescu C et al. 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Gut. 2018;67(5):789-804. doi: 10.1136\/gutjnl-2018-316027.","DOI":"10.1136\/gutjnl-2018-316027"}],"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"language":"en","deposited":{"date-parts":[[2024,9,5]],"date-time":"2024-09-05T17:46:54Z","timestamp":1725558414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/dl\/i\/pdf\/607\/2c367ce7d2d51208eab3df9a9e8e5cd7\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":13,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]},"published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.36740\/wlek202404102","archive":["Internet Archive"],"relation":{},"ISSN":["0043-5147"],"issn-type":[{"value":"0043-5147","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]}}}