Surgery for chronic pancreatitis. Drainage versus resection.
A retrospective study of 49 patients with chronic obstructive and chronic calcific pancreatitis is presented. All patients were operated upon and underwent either a partial pancreatectomy or internal drainage of the ductal system into a Roux-en-Y loop of jejunum. The criteria for selection of operation are discussed, and the follow-up of the two operative groups is given. In patients selected as described, internal drainage provided better relief of pain and was accomplished with a lower operative mortality and morbidity and with less postoperative pancreatic insufficiency.
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010146:Pain / Q000601:surgery; D010180:Pancreatectomy; D010195:Pancreatitis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies