PMID: 9171747May 1, 1997Paper

Outcome of surgery for chronic pancreatitis

The British Journal of Surgery
J D EvansJ P Neoptolemos

Abstract

In patients with chronic pancreatitis, surgery is indicated for the management of intractable pain or for the treatment of complications. Sixty-three consecutive patients (49 men and 14 women of median age 40 (range 20-72) years) who had undergone surgery over an 8-year interval for chronic pancreatitis were studied. The mortality and morbidity rates associated with surgery were assessed and quality of life was reviewed based on relief of symptoms, analgesic use, employment and long-term sequelae. Forty-four patients (70 per cent) had alcoholic chronic pancreatitis. In 60 patients the principal indication for surgery was intractable pain. Eighteen patients had a duodenum-preserving resection of the pancreatic head (Beger operation); the other surgical procedures were Whipple resection (15), left-sided resection (13), total pancreatectomy (seven), pseudocystjejunostomy (five), pancreaticojejunostomy (one) and bypass procedures (four). The median inpatient stay was 12 days; 23 patients had postoperative complications including one death (2 per cent). There was improved pain control (P < 0.001), a reduction in opiate analgesia use, increase in percentage weight gain (P < 0.01 at 2 years) and return to employment following surgery....Continue Reading

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Citations

May 31, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hartwig RiedigerFrank Makowiec
Aug 19, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kimberly A EvansKevin E Behrns
Apr 23, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Felix RückertRobert Grützmann
Jun 12, 1999·American Journal of Surgery·J M RabkinD E Sutherland
Sep 27, 2003·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R Gupta, H Ihmaidat
Apr 12, 2000·The British Journal of Surgery·M FalconiP Pederzoli
May 10, 2001·Pancreas·P MassuccoL Capussotti
Jul 28, 2011·Pancreas·Salman NusratKlaus Bielefeldt
Jul 18, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·T WongJ P Neoptolemos
Mar 29, 2003·Expert Opinion on Biological Therapy·Fabrizio PanaroEnrico Benedetti
Apr 26, 2013·The British Journal of Surgery·J W ParkS-W Kim
Jul 16, 2010·The British Journal of Surgery·E S van LooV B Nieuwenhuijs
Jul 29, 2015·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Lindsay A BlissJennifer F Tseng
Jun 16, 2016·Arquivos De Gastroenterologia·Anna Victoria FragosoAndré Luis Montagnini
Nov 5, 2003·The British Journal of Surgery·N AlexakisJ P Neoptolemos
Nov 30, 2018·European Journal of Gastroenterology & Hepatology·Minas BaltatzisAjith K Siriwardena

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