title: Surgical treatment of chronic pancreatitis--a 14 years experience.
abstract: BACKGROUND
  Operative treatment of chronic pancreatitis is indicated for patients with intractable pain after failed medical and endoscopic treatment, or in the presence of complications of the disease.
  
  
  OBJECTIVE
  This study evaluates a single-center experience with operative management of chronic pancreatitis over a period of time of 14 years, regarding indication, surgical technique, early and late results.
  
  
  METHODS
  The records of 265 consecutive patients who underwent surgery for chronic pancreatitis between 1995 and 2008 were retrospectively reviewed and analyzed. Long-term outcomes were assessed by patient survey, with a median follow-up of 40 months.
  
  
  RESULTS
  265 patients underwent 275 operations for chronic pancreatitis with the main indication abdominal pain (46.8%), followed by suspected malignancy in 24.8% and recurrent episodes of acute pancreatitis in 18.6%. Resection procedures 54.5% (150), drainage procedures 1.09% (3), bypass and denervation procedures 44.36% (122) and exploratory laparotomy 3.27% (9) were performed with an overall morbidity of 22% and an in-hospital mortality rate of 2.64%. After a median follow-up of 40 months survival information was available for 137 patients (51.69%) with a 5-and actuarial survival rate of 74.7% and quality of life improvement in most patients, especially in the resected group.
  
  
  CONCLUSIONS
  Our results suggest that in chronic pancreatitis the type of surgery has to be individualized in each patient (resection VS drainage) and organ preserving operations are safe and effective in providing long-term pain relief and in treating CP-related complications
authors.affiliation: Centrul de Chirurgie Generală si Transplant Hepatic, Institutul de Boli Digestive si Transplant Hepatic Fundeni, Bucureşti. cezar.stroescu@gmail.com
authors.forename: C
authors.initials: C
authors.lastname: Stroescu
authors.forename: S
authors.initials: S
authors.lastname: Dima
authors.forename: A
authors.initials: A
authors.lastname: Scarlat
authors.forename: B
authors.initials: B
authors.lastname: Ivanov
authors.forename: O
authors.initials: O
authors.lastname: Bouaru
authors.forename: M
authors.initials: M
authors.lastname: Ionescu
authors.forename: C
authors.initials: C
authors.lastname: Vasilescu
authors.forename: I
authors.initials: I
authors.lastname: Popescu
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000368:Aged; D004322:Drainage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D050500:Pancreatitis, Chronic / Q000150:complications / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D016019:Survival Analysis; D015996:Survival Rate; D016896:Treatment Outcome