[Surgical treatment of chronic pancreatitis and evaluation of therapeutic efficiency].
Twenty-eight patients with chronic pancreatitis (CP) were treated surgically in our department from 1987 to 1994. According to imaging features of B-us, CT, ERCP and operative pancreatogram, CPs were classified into five imaging types: mass type (11 cases), mass with dilated bile duct type (8), diffusely swelling type (4), dilated bile and pancreatic duct type (3), dilated pancreatic duct type (2). The surgical procedure was determined by considering both of the imaging type and major symptoms. The patients with pancreatic mass were treated mainly with pancreatic resection, whereas the patients with dilated bile or/and pancreatic duct were treated with bile or/and pancreatic ductal drainage procedures. Sphincteroplasty, neurectomy, lithotomy and T tube drainage were combined with above mentioned procedures according to intraoperative findings. One patient died of acute cholangitis and hepatic failure, 19 patients were free of pain postoperatively. There was no obvious deterioration of pancreatic function. These data suggest that pathologic changes of CP can be shown by imaging techniques. On the basis of imaging features and major symptoms, choice of appropriate procedure or combination of various operations will improve therapeutic efficiency of CP.
Guo
K
K
First Affiliated Hospital, China Medical University, Shenyang.
Zhang
D
D
Tian
Y
Y
D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D010193:Pancreaticojejunostomy; D010195:Pancreatitis / Q000601:surgery*; D016896:Treatment Outcome