Long-term results of pancreatic resection and segmental pancreastic autotransplantation for chronic pancreatitis
| Autor: | J. Stuart Soeldner, John A. Shea, Frederick W. Heiss, Mark L. Silverman, Elton Watkins, Ricardo L. Rossi, John W. Braasch |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Blood Glucose Male medicine.medical_specialty medicine.medical_treatment Pancreas transplantation Transplantation Autologous Pancreatectomy Postoperative Complications Diabetes mellitus medicine Humans Insulin Glucose homeostasis Pancreatic resection Aged business.industry General Medicine Glucose Tolerance Test Middle Aged medicine.disease Autotransplantation Surgery Transplantation Pancreatitis Chronic Disease Female Pancreas Transplantation business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 159:51-58 |
| ISSN: | 0002-9610 |
| Popis: | Thirteen patients who underwent extensive pancreatic resection and segmental autotransplantation and who have a median follow-up of 62 months are presented. Eleven patients had technically successful grafts. Three of six patients who underwent total pancreatectomy and three of five patients who underwent near-total resection remain insulin-independent. Those patients who require insulin require small doses and have stable diabetes. Pain has recurred in 7 of the 11 patients who underwent distal subtotal resection; 5 of them required pancreatoduodenectomy and completion pancreatectomy for pain relief. Because of the high rate of recurrence of pain after distal resection, we favor pancreatoduodenectomy as the initial procedure of choice. When distal near-total or total pancreatectomy is required, the addition of segmental autotransplantation offers definitive, although at times transient, benefits in glucose homeostasis compared with no transplantation. |
| Databáze: | OpenAIRE |
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