Natural course of operated pseudocysts in chronic pancreatitis.
A longterm review (median follow up 11 years) of the postoperative course of pancreatic pseudocysts was undertaken in 55 patients with chronic pancreatitis. While 96% of the patients were free of pain immediately after the operation this figure fell to 53% subsequently. Alcohol abstinence did not significantly reduce pain. Endocrine pancreatic deterioration (60%) was significantly (p = 0.0059) more frequent than exocrine (38%). Unemployment increased from 2 to 41%; retirement rose from 0 to 33%, mainly as a result of pancreatitis. Twenty one (38%) patients died. Chronic pancreatitis related death rate was 14%. Three patients died of extrapancreatic carcinomas.
Department of Internal Medicine, Municipal Hospital of Lüneburg, Germany.
A
A
Löhr-Happe
M
M
Peiper
P G
PG
Lankisch
D000328:Adult; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain; D010179:Pancreas / Q000503:physiopathology; D010192:Pancreatic Pseudocyst / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D010195:Pancreatitis / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D011379:Prognosis; D012008:Recurrence