Pancreatography Operating room

Operating pancreatography (OPP) is a diagnostic method in which, during surgery, a contrast agent is injected into the pancreatic ducts to visualize its structure and functions.

The main indications for PPO are suspicion of a pancreatic tumor, cysts, stones or other pathological changes in its ducts. PPO can also be used to evaluate the effectiveness of treatment of pancreatic tumors after surgery.

Before undergoing PPO, the patient must be prepared for surgery. This usually involves the administration of sedatives and local anesthesia. During the operation, the surgeon makes a small incision in the abdomen and inserts a needle into the pancreatic duct. A contrast agent is then injected into the duct to visualize its structure and function.

After administering a contrast agent, the surgeon examines the pancreas for pathological changes. If necessary, he may make additional incisions or perform additional tests, such as a computed tomography (CT) scan or magnetic resonance imaging (MRI).

PPO is a safe and effective diagnostic method. However, as with any other surgery, there is a risk of complications such as bleeding, infection or damage to nearby organs. Therefore, before carrying out PPO, it is necessary to carefully evaluate all possible risks and benefits.

Pancreatogram is an X-ray examination of the pancreatic ducts by filling the common bile duct and gland ducts with water-soluble contrast agents. The operation is performed on an empty stomach. The study is carried out 2-3 hours after taking the contrast agent (less often, immediately during surgery).

The procedure is performed in a cath lab or dressing room and is usually done under local anesthesia, from which the patient recovers after a few hours, usually overnight. If blood clotting is too good, the use of heparin and desensitizing drugs is indicated. Heparin is administered the day before the operation, taking into account possible vasodilation.

Before the procedure, the stomach contents are aspirated. The patient is placed face down on the couch, the neck is fixed and asked not to breathe. Grab a vial of sterile iodolipol or other contrast agents with sterile forceps. You can use a gastric tube, which is connected to a syringe with the drug. If the syringe is laid vertically, then when the needle is inserted at a depth of 8-10 cm, mucus comes out of it, and the liquid itself rushes into the main bile duct and further along it to all branches of the pancreatic tree. The vial or syringe is left in the duct. If there is no irritation,