Open AccessChanging trends in operations for chronic pancreatitis: a 22‐year experience
Author(s) -
Sakorafas George H.,
Sarr Michael G.
Publication year - 2000
Publication title -
european journal of surgery
Language(s) - English
Resource type - Journals
eISSN - 1741-9271
pISSN - 1102-4151
DOI - 10.1080/110241500750008295
Subject(s) - medicine , pancreaticoduodenectomy , pancreatitis , duodenum , surgery , pylorus , resection , general surgery , malignancy , retrospective cohort study , pancreatic duct , stomach , gastroenterology
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 pancreaticoduodenectomy. Copyright © 2000 Taylor and Francis Ltd.