title: Duodenum-preserving pancreatic head resection (DPPHR) in chronic pancreatitis: its rationale and results.
abstract: Persistent, uncontrolled pain is the most common indication for surgery in chronic pancreatitis. In the presence of an inflammatory mass in the pancreatic head or in pancreatic head-related complications of chronic pancreatitis, resection procedures are inevitable. The Whipple procedure, originally introduced for malignant lesions of the periampullary region, is commonly employed, although it represents surgical over-treatment in a benign pancreatic disorder. In this article, we discuss our long experience with duodenum-preserving pancreatic head resection (Beger procedure) for chronic pancreatitis. Prospective, randomized controlled trials suggest that this organ- and function-preserving procedure should be the gold standard for the surgical treatment of pancreatic head-related complications of chronic pancreatitis.
authors.affiliation: Department of Visceral and Transplantation Surgery, University of Bern, Inselspital, CH-3010 Bern, Switzerland.
authors.forename: F
authors.initials: F
authors.lastname: Ozawa
authors.forename: H
authors.initials: H
authors.lastname: Friess
authors.forename: Y
authors.initials: Y
authors.lastname: Kondo
authors.forename: S V
authors.initials: SV
authors.lastname: Shrikhande
authors.forename: M W
authors.initials: MW
authors.lastname: Büchler
mesh_terms: D000328:Adult; D002908:Chronic Disease; D004386:Duodenum; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010179:Pancreas / Q000601:surgery*; D010195:Pancreatitis / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors