title: [Pancreatic head resection with preservation of the duodenum--the optimal surgical procedure in chronic pancreatitis].
abstract: Surgical procedure appears as an optimal curative method for the treatment of advanced stages of all 4 types of chronic pancreatitis. Progress in diagnostic methods and defining of classification with more precision in last years led us to the idea to optimalize also surgical procedure for the treatment of chronic pancreatitis. Since 1985 we have been performing duodenum preserving pancreas head resection followed by pancreatogastroanastomosis in symptomatic form of chronic pancreatitis. Checking up of 28 patients operated on by this procedure confirm best results of all used methods. With regard to the character of the disease we are not able to improve external secretory function of the pancreas by this operation. External secretory insufficiency has to be substituted permanently by medicaments. Substantial contribution of this operation is in improvement of the quality of the life of the people suffering from chronic pancreatitis.
mesh_terms: D000714:Anastomosis, Surgical; D002908:Chronic Disease; D004386:Duodenum / Q000601:surgery; D006801:Humans; D008722:Methods; D010179:Pancreas / Q000601:surgery*; D010195:Pancreatitis / Q000601:surgery*; D013270:Stomach / Q000601:surgery
vernacular_title: Resekce hlavy pankreatu se zachováním duodena--optimální chirurgický výkon u chronické pankreatitidy.