title: Duodenum preserving resection of the head of the pancreas in painful chronic pancreatitis.
abstract: 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.
authors.affiliation: Department of Surgery, University Hospital, Leiden, The Netherlands.
authors.forename: E H
authors.initials: EH
authors.lastname: Eddes
authors.forename: A A
authors.initials: AA
authors.lastname: Masclee
authors.forename: C B
authors.initials: CB
authors.lastname: Lamers
authors.forename: H G
authors.initials: HG
authors.lastname: Gooszen
mesh_terms: 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