Changing trends in operations for chronic pancreatitis: A 22-year experience

G. H. Sakorafas, M. G. Sarr

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Objective: To report the evolution of methods of surgical treatment of chronic pancreatitis. Design: Retrospective analysis. Setting: Private clinic, USA. Subjects: 448 consecutive patients who were operated on for chronic pancreatitis. Interventions: Resection (n = 286) or drainage of the duct (n = 162). Main outcome measure: Changes over the 22-year period. Results: There was a change towards resection after 1985 (195/238, 59%, from 1976-90 compared with 91/120, 76%, from 1991-97), partly because of suspicions of malignancy. In recent years (1991-97) pylorus-preserving pancreaticoduodenectomy has come to be preferred over classic resection including antrectomy (22/36, 61%, compared with 11/69, 16%). Eight duodenum-preserving resections have been done since 1994. Conclusions: More resections, particularly proximal pancreatectomies, are done nowadays. Lateral pancreaticojejunostomy has become the preferred drainage procedure, and pylorus-preserving pancreaticoduodenectomy is favoured over classic panreaticoduodenectomy.

Original languageEnglish (US)
Pages (from-to)633-637
Number of pages5
JournalEuropean Journal of Surgery
Volume166
Issue number8
DOIs
StatePublished - Jan 1 2000

Keywords

  • Chronic pancreatitis
  • Pancreatic denervation
  • Pancreaticoduodenectomy
  • Pancreaticojejunosto my
  • Surgery

ASJC Scopus subject areas

  • Surgery

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