PMID: 8944465Oct 1, 1996Paper

Proximal pancreatoduodenectomy for chronic pancreatitis

The British Journal of Surgery
G N Stapleton, R C Williamson

Abstract

A personal series is reported of 52 patients who underwent proximal pancreatoduodenectomy for severe chronic pancreatitis between 1979 and 1994. There were 13 women and 39 men of median age 42.2 (range 12-70) years. Disease predominantly affected the head of pancreas, with calcification present in 37 patients. Indications for operation were chronic pain (47 patients), obstructive jaundice (19) and duodenal stenosis (six); cancer was suspected in 12. In addition, 14 patients had a pseudocyst, two pancreatic endocrine failure and 20 exocrine failure. Aetiology was chronic alcohol abuse in 34, recurrent acute pancreatitis in five and unknown in 13. Pylorus-preserving proximal pancreatoduodenectomy was performed in 45 patients, while the remaining seven had partial gastrectomy. Drainage of a dilated distal pancreatic duct by side-to-side pancreaticojejunal anastomosis was included in 15 patients. Mean operating time was 6.2 (range 4.5-9.5) h and mean blood loss was 2.7 (range 0.2-13.0) litres. There were no hospital deaths, but three patients required a second operation and five had percutaneous drainage of infected collections. During a median follow-up of 54 months, six patients required completion distal pancreatectomy for renew...Continue Reading

References

Dec 1, 1992·Annals of Surgery·R P Jalleh, R C Williamson
Sep 1, 1991·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·R P Jalleh, R C Williamson
Oct 1, 1990·The British Journal of Surgery·L A Desa, R C Williamson
Jan 1, 1990·World Journal of Surgery·I IhseJ Larsson
Jan 1, 1990·World Journal of Surgery·H B GreenleeG V Aranha
Aug 1, 1989·The Thoracic and Cardiovascular Surgeon·E ZeitlerJ Leonhardi
Feb 1, 1989·The British Journal of Surgery·D R Hunt, R McLean
Oct 1, 1988·World Journal of Surgery·A S FinkW P Longmire
May 1, 1988·The British Journal of Surgery·A MannellD M Ilstrup
Oct 1, 1987·The British Journal of Surgery·M J CooperH B Torrance
Sep 1, 1987·The British Journal of Surgery·R C Williamson, M J Cooper
Jan 1, 1987·The British Journal of Surgery·M A LambertR C Russell
Jan 1, 1985·European Journal of Pediatrics·G J BruiningH K Visser
Oct 1, 1984·The British Journal of Surgery·M J Cooper, R C Williamson
Dec 1, 1983·The British Journal of Surgery·J W LeungP B Cotton
Jan 1, 1981·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·A Afroudakis, N Kaplowitz
Oct 1, 1995·The British Journal of Surgery·W R Fleming, R C Williamson
May 1, 1995·World Journal of Surgery·P Watanapa, R C Williamson
Aug 1, 1993·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·S B Kelly, R C Williamson
Dec 1, 1994·American Journal of Surgery·J S ThompsonL F Rikkers
Sep 1, 1993·Archives of Surgery·L W Traverso, R A Kozarek

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Citations

Sep 2, 1999·The Surgical Clinics of North America·J R IzbickiT Kuechler
Apr 11, 2001·Journal of the American College of Surgeons·P H Jordan, M Pikoulis
Dec 18, 2001·Journal of Clinical Gastroenterology·George H Sakorafas, Adelais G Tsiotou
Aug 2, 2007·Journal of Clinical Gastroenterology·George H SakorafasGeorge Peros
Jul 18, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·P G Lankisch
Jul 26, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·W T KnoefelJ R Izbicki
Oct 16, 2004·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·J E M CunhaT Bacchella
Aug 20, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Frantisek BelinaMiroslav Ryska
Aug 17, 1999·Cancer Treatment Reviews·G H Sakorafas, A G Tsiotou
Jul 31, 2016·Journal of Hepato-biliary-pancreatic Sciences·Tomonari AsanoYasuhiro Shimizu
Sep 16, 2016·Updates in Surgery·Sergio AlfieriGiovanni Battista Doglietto
Nov 19, 2010·British Journal of Hospital Medicine·J M L Williamson, R C N Williamson
Aug 30, 2000·Hospital Medicine·A M Isla
Nov 1, 2002·Annals of Surgery·Robert R HutchinsRobin C N Williamson
Aug 23, 2005·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·O Mann, J R Izbicki

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