Changes in gastric acidity after ductal decompression in patients with chronic pancreatitis.
OBJECTIVE
To find out whether pancreatic juice released into the stomach has any effect on gastric acidity, and to evaluate the results of operation.


METHODS
Prospective study.


METHODS
University Hospital, Hungary.


METHODS
55 patients with chronic pancreatitis.


METHODS
27 pancreaticogastrostomies, 8 pancreaticocystogastrostomies, and 20 pancreaticojejunostomies. Gastric pH monitoring.


METHODS
Alterations in pH after pancreaticogastrostomy.


RESULTS
The operations were equally effective for the relief of pain (48/55, 87%) and 46 (84%) had no digestive disorders because they took pancreatic enzyme substitutes. There were no significant differences in gastric pH between the groups.


CONCLUSIONS
Although this study was not randomised, the results suggest that pancreaticogastrostomy is a good operation for the relief of intractable pain in selected patients with chronic pancreatitis associated with duct dilatation.
Kovács
I
I
Second Department of Surgery, University Medical School of Debrecen, Hungary.
Tóth
P
P
Arkossy
P
P
Sápy
P
P
D000328:Adult; D000368:Aged; D002908:Chronic Disease; D019299:Decompression, Surgical / Q000706:statistics & numerical data; D013505:Digestive System Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D005745:Gastric Acidity Determination; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008875:Middle Aged; D010183:Pancreatic Ducts / Q000601:surgery*; D010195:Pancreatitis / Q000503:physiopathology / Q000601:surgery*; D011184:Postoperative Period; D018709:Statistics, Nonparametric; D013997:Time Factors