April 1967

Longitudinal Pancreaticojejunostomy in Alcoholic Pancreatitis

Author Affiliations

From the Veterans Administration West Side Hospital, Chicago. Dr. Cox is presently with the Department of Thoracic Surgery, Veterans Administration Hospital, Hines, Ill.

Arch Surg. 1967;94(4):469-475. doi:10.1001/archsurg.1967.01330100033005

ACUTE and chronic pancreatitis is etiologically related to alcohol ingestion in 40% of cases.1-3 This incidence varies depending on the type of institution. Our hospital is in a slum area near "Skid Row" and alcoholic pancreatitis predominates.

Pathogenesis of this disorder is not completely understood, but chronic methanol poisoning continues to appear related to the condition as suggested 13 years ago.4

Many victims of this disease admitted drinking denatured or rubbing alcohols (filtered by amateur methods). "Smoke" is a common beverage and has many variations. One pint of paint and varnish remover (Solax) in a quart of orange drink is a popular formula. The paint and varnish remover contains the ingredients shown in Table 1.

Ingestion of "smoke" produces severe hypoglycemia (H. C. Lee, written communication to authors) and elevated amylase levels.

This study was undertaken to learn the clinical course of alcoholic pancreatitis, acute and chronic, and

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