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August 1973

Surgical Approach to Pancreatic Inflammatory Disease

Author Affiliations

Toledo, Ohio
From the Department of Surgery, Medical College of Ohio at Toledo.

Arch Surg. 1973;107(2):340-347. doi:10.1001/archsurg.1973.01350200200041

Over a ten-year period 70 patients with pancreatic inflammatory disease were treated by operation. The most common causes were chronic alcoholism (39) and biliary tract disease (22); nine patients had less common causes.

Comprehensive correction of biliary tract disease gave excellent results when this was the underlying cause. In contrast, in the alcoholic there was a high incidence of intrinsic pancreatic duct obstruction due to stricture. Retrograde decompression of the exocrine pancreas afforded relief of pain; however, the improvement was often temporary because a high proportion of these patients continued to drink excessively.