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. 1979 Feb;189(2):217–224. doi: 10.1097/00000658-197902000-00014

Results of surgical treatment of chronic pancreatitis. Report of 142 cases.

T T White, A H Slavotinek
PMCID: PMC1397031  PMID: 426554

Abstract

The authors report on 142 patients treated surgically for chronic pancreatitis. They had an average age of 43.5; 34.5% were calcific; 62.7% were alcoholics: 28.9% had cysts; 19% had diabetes; 16.9% had steatorrhea; and all had pain. A follow-up of 55 patients undergoing pancreaticojejunostomy showed that, 4--21 years following operation 16 had marked improvement, 11 had some relief, four were not relieved from pain, and 24 had died, three within one month postoperatively and 21 later. Eighty to ninety-five per cent pancreatectomy was more effective in relieving pain in the 9 patients subjected to this type of resection than was the 50--80% pancreatic resection used in 16 patients. Pancreaticoduodenectomy was of some value in three of five patients so operated. Celiac ganglionectomy, used in 22 patients, and sphincteroplasty, used in 35 patients, were less effective in relieving symptoms than the other procedures.

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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., Hammer B., Fumagalli I. Chronic pancreatitis in Zurich, 1963-1972. Clinical findings and follow-up studies of 102 cases. Digestion. 1973;9(5):404–415. doi: 10.1159/000197469. [DOI] [PubMed] [Google Scholar]
  2. Cox W. D., Gillesby W. J. Longitudinal pancreaticojejunostomy in alcoholic pancreatitis. Arch Surg. 1967 Apr;94(4):469–475. doi: 10.1001/archsurg.1967.01330100033005. [DOI] [PubMed] [Google Scholar]
  3. DUVAL M. K., Jr Caudal pancreatico-jejunostomy for chronic relapsing pancreatitis. Ann Surg. 1954 Dec;140(6):775–785. doi: 10.1097/00000658-195412000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. DUVAL M. K., Jr, ENQUIST I. F. The surgical treatment of chronic pancreatitis by pancreaticojejunostomy: an 8 year reappraisal. Surgery. 1961 Dec;50:965–969. [PubMed] [Google Scholar]
  5. 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]
  6. Guillemin G., Cuilleret J., Michel A., Berard P., Feroldi J. Chronic relapsing pancreatitis. Surgical management including sixty-three cases of pancreaticoduodenectomy. Am J Surg. 1971 Dec;122(6):802–807. doi: 10.1016/0002-9610(71)90450-8. [DOI] [PubMed] [Google Scholar]
  7. Hermann R. E., Al-Jurf A. S., Hoerr S. O. Pancreatitis. Surgical management. Arch Surg. 1974 Aug;109(2):298–303. doi: 10.1001/archsurg.1974.01360020158031. [DOI] [PubMed] [Google Scholar]
  8. Howard J. M., Nedwich A. Correlation of the histologic observations and operative findings in patients with chronic pancreatitis. Surg Gynecol Obstet. 1971 Mar;132(3):387–395. [PubMed] [Google Scholar]
  9. Ishii K., Nakamura K., Takeuchi T., Hirayama T. Chronic calcifying pancreatitis and pancreatic carcinoma in Japan. Digestion. 1973;9(5):429–437. doi: 10.1159/000197471. [DOI] [PubMed] [Google Scholar]
  10. JORDAN G. L., Jr, HOWARD J. M. Caudal pancreatojejunostomy in the management of chronic relapsing pancreatitis. Surgery. 1958 Aug;44(2):303–311. [PubMed] [Google Scholar]
  11. Jordan G. L., Jr, Strug B. S., Crowder W. E. Current status of pancreatojejunostomy in the management of chronic pancreatitis. Am J Surg. 1977 Jan;133(1):46–51. doi: 10.1016/0002-9610(77)90191-x. [DOI] [PubMed] [Google Scholar]
  12. 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]
  13. 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]
  14. White T. T., Keith R. G. Long term follow-up study of fifty patients with pancreaticojejunostomy. Surg Gynecol Obstet. 1973 Mar;136(3):353–358. [PubMed] [Google Scholar]
  15. White T. T., Lawinski M., Stacher G., Pang Tay Tea J., Michoulier J., Murat J., Mallet-Guy P. Treatment of pancreatitis by left splanchnicectomy and celiac ganglionectomy. Analysis of 146 cases. Am J Surg. 1966 Aug;112(2):195–199. doi: 10.1016/0002-9610(66)90009-2. [DOI] [PubMed] [Google Scholar]

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