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. 1986 Mar;203(3):266–271. doi: 10.1097/00000658-198603000-00008

The role of surgical treatment for chronic pancreatitis.

T Sato, E Miyashita, H Yamauchi, S Matsuno
PMCID: PMC1251088  PMID: 2420294

Abstract

During the last 25 years, 134 patients with chronic pancreatitis were treated surgically in our clinic. According to intraoperative measurement of the pancreatic intraductal pressure, both perfusion pressure and residual pressure in the patients with dilated pancreatic duct were significantly higher than those in control patients. Operative procedures included side-to-side pancreaticojejunostomy in 47 patients, 40%-80% caudal pancreatectomy in 28, pancreaticoduodenectomy in 16, pancreatic sphincteroplasty in 10, and others. The effect of operation on abdominal pain was noted in 97% of the patients. The study of operative effect on abdominal pain and follow-up results showed the excellent maintenance of operative benefit. Surgical treatment, however, could not help improve impaired function of the pancreas. Ten of 34 late deaths were related to the failure of controlling diabetes. Therefore, long-term follow-up care to the pancreatic dysfunction is considered to be necessary even after complete relief of abdominal pain.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ammann R. W., Akovbiantz A., Largiader F., Schueler G. Course and outcome of chronic pancreatitis. Longitudinal study of a mixed medical-surgical series of 245 patients. Gastroenterology. 1984 May;86(5 Pt 1):820–828. [PubMed] [Google Scholar]
  2. Braasch J. W., Vito L., Nugent F. W. Total pancreatectomy of end-stage chronic pancreatitis. Ann Surg. 1978 Sep;188(3):317–322. doi: 10.1097/00000658-197809000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bradley E. L., 3rd Pancreatic duct pressure in chronic pancreatitis. Am J Surg. 1982 Sep;144(3):313–316. doi: 10.1016/0002-9610(82)90008-3. [DOI] [PubMed] [Google Scholar]
  4. Frey C. F., Child C. G., Fry W. Pancreatectomy for chronic pancreatitis. Ann Surg. 1976 Oct;184(4):403–413. doi: 10.1097/00000658-197610000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gall F. P., Gebhardt C., Zirngibl H. Chronic pancreatitis--results in 116 consecutive, partial duodenopancreatectomies combined with pancreatic duct occlusion. Hepatogastroenterology. 1982 Jun;29(3):115–119. [PubMed] [Google Scholar]
  6. Gall F. P., Mühe E., Gebhardt C. Results of partial and total pancreaticoduodenectomy in 117 patients with chronic pancreatitis. World J Surg. 1981 Mar;5(2):269–275. doi: 10.1007/BF01658311. [DOI] [PubMed] [Google Scholar]
  7. Grodsinsky C., Schuman B. M., Block M. A. Absence of pancreatic duct dilation in chronic pancreatitis: surgical significance. Arch Surg. 1977 Apr;112(4):444–449. doi: 10.1001/archsurg.1977.01370040096015. [DOI] [PubMed] [Google Scholar]
  8. Potts J. R., 3rd, Moody F. G. Surgical therapy for chronic pancreatitis: selecting the appropriate approach. Am J Surg. 1981 Dec;142(6):654–659. doi: 10.1016/0002-9610(81)90305-6. [DOI] [PubMed] [Google Scholar]
  9. Prinz R. A., Greenlee H. B. Pancreatic duct drainage in 100 patients with chronic pancreatitis. Ann Surg. 1981 Sep;194(3):313–320. doi: 10.1097/00000658-198109000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sato T., Noto N., Matsuno S., Miyakawa K. Follow-up results of surgical treatment for chronic pancreatitis. Present status in Japan. Am J Surg. 1981 Sep;142(3):317–323. doi: 10.1016/0002-9610(81)90338-x. [DOI] [PubMed] [Google Scholar]
  11. Taylor R. H., Bagley F. H., Braasch J. W., Warren K. W. Ductal drainage or resection for chronic pancreatitis. Am J Surg. 1981 Jan;141(1):28–33. doi: 10.1016/0002-9610(81)90007-6. [DOI] [PubMed] [Google Scholar]
  12. Way L. W., Gadacz T., Goldman L. Surgical treatment of chronic pancreatitis. Am J Surg. 1974 Feb;127(2):202–209. doi: 10.1016/0002-9610(74)90158-5. [DOI] [PubMed] [Google Scholar]
  13. White T. T., Bourde J. A new observation on human intraductal pancreatic pressure. Surg Gynecol Obstet. 1970 Feb;130(2):275–278. [PubMed] [Google Scholar]
  14. White T. T., Hart M. J. Pancreaticojejunostomy versus resection in the treatment of chronic pancreatitis. Am J Surg. 1979 Jul;138(1):129–134. doi: 10.1016/0002-9610(79)90252-6. [DOI] [PubMed] [Google Scholar]
  15. White T. T., Slavotinek A. H. Results of surgical treatment of chronic pancreatitis. Report of 142 cases. Ann Surg. 1979 Feb;189(2):217–224. doi: 10.1097/00000658-197902000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]

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