Size of the pancreatic head as a prognostic factor for the outcome of Beger's procedure for painful chronic pancreatitis
| Autor: | C.J.H.M. van Laarhoven, Eric Keus, H. G. Gooszen, Ad A.M. Masclee, E. H. Eddes, M. E. I. Schipper |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male S-procedure medicine.medical_specialty Prognostic factor Pancreatic disease Pancreatic head Cohort Studies Humans Medicine Survivors Pancreas Cholangiopancreatography Endoscopic Retrograde business.industry Middle Aged Prognosis medicine.disease Pain Intractable Surgery medicine.anatomical_structure Pancreatitis Localized disease Chronic Disease Female Tomography X-Ray Computed business Cohort study |
| Zdroj: | British Journal of Surgery. 90:320-324 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.4043 |
| Popis: | Background Duodenum-preserving resection of the head of the pancreas (DPRHP) according to Beger has been developed as an alternative to pylorus-preserving resection of the pancreatic head for painful chronic pancreatitis. Methods Between 1988 and 2000, 36 consecutive DPRHPs were performed. The group was divided into patients with (group 1; n = 23) and without (group 2; n = 13) significant enlargement of the pancreatic head. Pain was the indication for surgery in all patients. Results Complications occurred in 12 patients, necessitating reoperation in 11. Initial overall results were favourable; significant improvement or complete relief of pain was reported in 27 of 35 patients. Long-term results were obtained in 27 of 30 patients; the overall success rate was 16 of 27, 13 of 16 patients with distinct enlargement of the pancreatic head and 3 of the 11 with minimal or no enlargement (P = 0·018). Conclusion DPRHP can be performed with good early results. This effect is sustained in patients with distinct localized disease of the pancreatic head. In those without, the long-term results are disappointing. |
| Databáze: | OpenAIRE |
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