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Duodenum‐preserving pancreatic head resection (DPPHR) in chronic pancreatitis: its rationale and results
Author(s) -
Ozawa Fumiaki,
Friess Helmut,
Kondo Yasuo,
Shrikhande Shailesh V.,
Büchler Markus W.
Publication year - 2000
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/s005340070015
Subject(s) - pancreatitis , medicine , pancreatic head , duodenum , resection , whipple procedure , gold standard (test) , surgery , general surgery , pancreaticoduodenectomy
Persistent, uncontrolled pain is the most common indication for surgery in chronic pancreatitis. In the presence of an inflammatory mass in the pancreatic head or in pancreatic head‐related complications of chronic pancreatitis, resection procedures are inevitable. The Whipple procedure, originally introduced for malignat lesions of the periampullary region, is commonly employed, although it represents surgical over‐treatment in a benign pancreatic disorder. In this article, we discuss our long experience with duodenum‐preserving pancreatic head resection (Beger procedure) for chronic pancreatitis. Prospective, randomized controlled trials suggest that this organ‐ and function‐preserving procedure should be the gold standard for the surgical treatment of pancreatic head‐related complications of chronic pancreatitis.