Pain Relief in Chronic Pancreatitis – Role of Pylorus-Preserving Pancreaticoduodenectomy
作者:
L. Fernández-Cruz,
S. Navarro,
A. Saenz,
M. Prados,
期刊:
Digestive Surgery
(Karger Available online 1994)
卷期:
Volume 11,
issue 3-6
页码: 313-317
ISSN:0253-4886
年代: 1994
DOI:10.1159/000172277
出版商: S. Karger AG
关键词: Chronic pancreatitis;Pylorus-preserving pancreatoduodenectomy;Pancreatojejunostomy;Distal resection;Pain relief;Endocrine dysfunction;Exocrine dysfunction
数据来源: Karger
摘要:
The records of 25 patients with chronic pancreatitis who underwent pylorus-preserving pancreatoduodenectomy (PPPD) were reviewed. A comparison was made with the clinical results obtained from 20 patients with side-to-side pancreatojejunostomy and from 33 patients with distal resection. 88% of the patients treated with PPPD and 93% of the patients treated with distal resection reported complete improvement in pain; after side-to-side pancreatojejunostomy 10% patients had partial improvement in pain and 20% needed narcotics. Diabetes developed in 10% of patients following side-to-side pancreatojejunostomy and in 24% of patients following distal resection. Exocrine dysfunction developed in 64% after PPPD, in 15% after side-to-side pancreatojejunostomy and in 8% after distal resection. PPPD is very effective in relieving pain and preserving endocrine function, but precipitates exocrine dysfunction early on after the operation.
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