[Cephalic pancreatectomy with conservation of the duodenum in chronic pancreatitis with inflammatory lesions of the head of pancreas. Results of 15 years' experience].

Abstract

In 122 patients with severe chronic pancreatitis and inflammatory enlargement of the head of the pancreas a duodenum-preserving resection of the pancreatic head was performed. Postoperative hospitalization was 16 days in median, the frequency of re-operation was 4.9%. In the early postoperative phase one patient died and hospital mortality amounted to 0.8%. Following a medium follow-up period of 4.2 years (min. 6 months, max. 15 years) 7 patients died (late mortality 4.9%). 77% of the patients were completely free of abdominal pain, 84% went back to their previous occupation. During the follow-up period in 81% of the patients the glucose metabolism was unchanged, in 13% it deteriorated, and in 5% it improved permanently; 80% of the patients had a marked increase in weight averaging 8.7 kg. Compared to the Whipple procedure the duodenum-preserving resection of the head of the pancreas spares the patient with chronic pancreatitis a gastric resection, the duodenectomy, and the resection of the extrahepatic bile ducts. The limited operative intervention at the head of the pancreas in terms of a subtotal resection and the preservation of the duodenum explains the low early and late postoperative morbidity and mortality.

• Authors: H G Beger, R Bittner, E Schölzel, M Büchler, S Block, P Malfertheiner
• Journal: Chirurgie; memoires de l'Academie de chirurgie (Chirurgie) Vol. 115 Issue 3 Pg. 193-201 ( 1989) ISSN: 0001-4001 [Print] France
• Vernacular Title: La pancréatectomie céphalique avec conservation du duodénum pour pancréatite chronique dans les lésions inflammatoires de la tête du pancréas. Résultats d'une expérience de 15 ans.
• PMID: 2805928 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Chronic Disease
• Duodenum (surgery)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Pancreatectomy (methods)
• Pancreatitis (surgery)
• Time Factors