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Ductal drainage with head coring in chronic pancreatitis with small‐duct disease
Author(s) -
Ramesh Hariharan,
Jacob George,
Lekha Vijayalakshmi,
Venugopal Ambadi
Publication year - 2003
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-002-0827-2
Subject(s) - medicine , pancreatitis , pancreatic duct , surgery , complication , pancreatic disease , jaundice , duct (anatomy) , duodenum , pancreas
Purpose To assess prospectively the feasibility of drainage procedures in patients with chronic pancreatitis and small ducts. Methods Forty‐five patients with chronic pancreatitis and main pancreatic ductal diameters less than 5 mm (group 1) underwent lateral pancreaticojejunostomy with varying degrees of head coring. Their outcomes were recorded and compared with 212 patients who had large ducts (diameter ≫7 mm; group 2). Patients in the two groups were comparable in age, etiology, presence of jaundice, diabetes, steatorrhea, head mass, pseudocysts, and biliary obstruction. Results Mortality and complication rates were similar in the two groups. Drainage procedures relieved pain in 94% (43/45 cases) in small‐duct disease, and 91% (193/212) of cases with large‐duct disease over a median follow‐up greater than 30 months. Functional results were also comparable. Conclusion In the light of these results, drainage procedures merit wider application for small‐duct disease.