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. 1979 Sep;190(3):312–319. doi: 10.1097/00000658-197909000-00006

Surgical treatment of chronic pancreatitis. Twenty-two years' experience.

L W Traverso, R K Tompkins, P T Urrea, W P Longmire Jr
PMCID: PMC1344660  PMID: 485605

Abstract

Seventy-four patients underwent operation for chronic pancreatitis during a 22 year period at UCLA Hospital. Follow-up data obtained for 60% of these patients an average of 3.2 years postoperation were analyzed by computer for statistically significant benefit between paired operation combinations and the variables of pain relief, stool habits, alcohol use, readmission for pancreatitis, and narcotic use. The combined group of total and cephalic pancreaticoduodenectomy proved more effective with respect to pain relief and readmission (p less than 0.05) than the group that had pseudocyst drainage. The comparison of groups that underwent resection or ductal drainage showed no statistical differences for the above variables. Regardless of type of operation, if the patient had evidence of pancreatic calcifications and had abstained from alcohol postoperatively, the likelihood of a return to normal activity was more favorable (p less than 0.05).

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Selected References

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

  1. 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]
  2. Frey C. F. Pancreatic pseudocyst--operative strategy. Ann Surg. 1978 Nov;188(5):652–662. doi: 10.1097/00000658-197811000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Leger L., Lenriot J. P., Lemaigre G. Five to twenty year followup after surgery for chronic pancreatitis in 148 patients. Ann Surg. 1974 Aug;180(2):185–191. doi: 10.1097/00000658-197408000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Nakamura K., Sarles H., Payan H. Three-dimensional reconstruction of the pancreatic ducts in chronic pancreatitis. Gastroenterology. 1972 May;62(5):942–949. [PubMed] [Google Scholar]
  5. Prinz R. A., Kaufman B. H., Folk F. A., Greenlee H. B. Pancreaticojejunostomy for chronic pancreatitis. Two- to 21-year follow-up. Arch Surg. 1978 Apr;113(4):520–525. doi: 10.1001/archsurg.1978.01370160178031. [DOI] [PubMed] [Google Scholar]
  6. Sarles H., Lebreuil G., Tasso F., Figarella C., Clemente F., Devaux M. A., Fagonde B., Payan H. A comparison of alcoholic pancreatitis in rat and man. Gut. 1971 May;12(5):377–388. doi: 10.1136/gut.12.5.377. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Sarles H., Sahel J. Pathology of chronic calcifying pancreatitis. Am J Gastroenterol. 1976 Aug;66(2):117–139. [PubMed] [Google Scholar]
  8. Sato T., Saitoh Y., Noto N., Matsuno K. Appraisal of operative treatment for chronic pancreatitis. With special reference to side to side pancreaticojejunostomy. Am J Surg. 1975 Jun;129(6):621–628. doi: 10.1016/0002-9610(75)90333-5. [DOI] [PubMed] [Google Scholar]
  9. Traverso L. W., Abou-ZamZam A. M., Tompkins R. K. Effect of an elemental diet on canine pancreatic autografts. Surg Forum. 1978;29:378–379. [PubMed] [Google Scholar]
  10. Traverso L. W., Longmire W. P., Jr Preservation of the pylorus in pancreaticoduodenectomy. Surg Gynecol Obstet. 1978 Jun;146(6):959–962. [PubMed] [Google Scholar]
  11. 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]
  12. 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]
  13. Wittingen J., Frey C. F. Islet concentration in the head, body, tail and uncinate process of the pancreas. Ann Surg. 1974 Apr;179(4):412–414. doi: 10.1097/00000658-197404000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]

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