TY - JOUR
T1 - Changing trends in operations for chronic pancreatitis
T2 - A 22-year experience
AU - Sakorafas, G. H.
AU - Sarr, M. G.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2000
Y1 - 2000
N2 - 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.
AB - 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.
KW - Chronic pancreatitis
KW - Pancreatic denervation
KW - Pancreaticoduodenectomy
KW - Pancreaticojejunosto my
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=0033849287&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033849287&partnerID=8YFLogxK
U2 - 10.1080/110241500750008295
DO - 10.1080/110241500750008295
M3 - Article
C2 - 11003432
AN - SCOPUS:0033849287
SN - 1102-4151
VL - 166
SP - 633
EP - 637
JO - European Journal of Surgery
JF - European Journal of Surgery
IS - 8
ER -