October 1957

Acute Pancreatitis

Author Affiliations

Department of Surgery The University of Chicago

AMA Arch Surg. 1957;75(4):581-583. doi:10.1001/archsurg.1957.01280160091011

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The writing of this editorial on "Acute Pancreatitis" has been prompted by three excellent papers on this disease presented at the recent meeting of the Central Surgical Association in Chicago. Charles B. Puestow described a series of patients with chronic relapsing pancreatitis treated successfully by retrograde drainage of the pancreas into the intestines. At the time of operating a catheter was fixed in the pancreatic duct, and subsequently the injection of radiopaque material provided excellent visualization of the duct system of the pancreas. It was interesting to note that in the majority of these patients the distal end of the main pancreatic duct was stenosed, in several cases over a distance of 3 to 5 cm. The ducts proximal to the stenosed area were markedly dilated and the body and tail of the pancreas fibrotic. One can hardly doubt that the recurring attacks of pain in these patients were due

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