Duodenum preserving resection of the head of the pancreas in painful chronic pancreatitis.
OBJECTIVE
Evaluation of duodenum preserving resection of the head of the pancreas in patients with disabling pain caused by chronic pancreatitis with an inflammatory mass in the head of the pancreas.


METHODS
Retrospective study.


METHODS
University hospital. The Netherlands.


METHODS
15 consecutive patients.


METHODS
Mortality, morbidity, pain relief, endocrine and exocrine function.


RESULTS
There was no 30 day postoperative mortality. Early morbidity consisted of small bowel leak (n = 1), obstructive ileus (n = 1) and peri anastomotic abscess (n = 2). Relief of pain was achieved in 13 patients (86%) after a mean follow up of 37 months; 11 (73%) were totally free of pain, and 2 (13%) had improved. Neither endocrine nor exocrine function deteriorated significantly after resection.


CONCLUSIONS
Duodenum preserving resection is an effective operation in patients with disabling pain caused by chronic pancreatitis with an inflammatory mass in the head of the pancreas.
Eddes
E H
EH
Department of Surgery, University Hospital, Leiden, The Netherlands.
Masclee
A A
AA
Lamers
C B
CB
Gooszen
H G
HG
D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010195:Pancreatitis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome