[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
April 1980

Surgical Treatment of Chronic PancreatitisA Review After a Ten-Year Experience

Author Affiliations

From the Department of Surgery, Henry Ford Hospital, Detroit. Read before the 87th annual meeting of the Western Surgical Association, Colorado Springs, Nov 14, 1979.

Arch Surg. 1980;115(4):545-551. doi:10.1001/archsurg.1980.01380040167030

• Seventy-five operative procedures were done in 63 patients to correct one or more complications of chronic pancreatitis. Operations included resection, pancreaticojejunostomy, choledochoduodenostomy, draining and/or excision of pseudocysts, sphincteroplasty, and bypass surgery for relief of duodenal obstruction. All patients were followed up for up to 10 years, with 22 being followed up longer than five years. Recurrent pancreatitis occurred in three patients after resection and in two after drainage procedures, but attacks were milder with only an occasional occurrence. Operative procedures to relieve specific complications of chronic pancreatitis provided good results. However, because internal drainage of pseudocysts associated with chronic pancreatitis was frequently accompanied by recurrence of symptoms, excision offered better results. When the pancreatic duct was dilated, good results were obtained by pancreaticojejunostomy. In the absence of dilation, after strict preoperative selection of patients, and in the presence of diffuse parenchymal fibrosis, subtotal pancreatectomy is the procedure of choice.

(Arch Surg 115:545-551, 1980)

Prinz RA, Kaufman BH, Folk FA, et al:  Pancreaticojejunostomy for chronic pancreatitis: Two- to 21-year follow-up . Arch Surg 113:520-524, 1978.Article
Jordan GI, Strug BS, Crowder WE:  Current status of pancreaticojejunostomy in the management of chronic pancreatitis . Am J Surg 133:46-50, 1977.Article
Grodsinsky C, Schumann BM, Brush BE:  ERCP as an aid to pancreatic surgery . Bull Soc Int Chirurgie 6:605-610, 1975.
Grodsinsky C, Schuman BM, Block MA:  Absence of pancreatic duct dilatation in chronic pancreatitis surgical significance . Arch Surg 122:444-449, 1977.Article
Sarles H, Sahel J:  Pathology of chronic pancreatitis . Am J Gastroenterology 66:117-135, 1976.
Bradley EL III, Salam AA:  Hyperbilirubinemia in inflammatory pancreatic disease: Natural history and management . Ann Surg 188:626-629, 1978.Article
Scott R, Summerfield J, Elias E, et al:  Chronic pancreatitis: A cause of cholestasis . Gut 17:385-386, 1976.Article
Grodsinsky C, Block MA: Persistent obstructive jaundice associated with chronic pancreatitis. Henry Ford Hosp Med J, to be published.
Bown RL, Lang EK:  Chronic pancreatitis causing circumferential narrowing of the duodenum . J Louisiana State Med Soc 123:177-178, 1971.
Grodsinsky C:  Surgical treatment of chronic pancreatitis . Henry Ford Hosp Med J 22:137-147, 1977.
Traverso LW, Tomkins RK, Urrea PT, et al:  Surgical treatment of chronic pancreatitis: 22 years' experience . Ann Surg 190:312-317, 1979.Article
Child CG III, Frey CF, Fry WJ:  A reappraisal of removal of 95% of the distal portion of the pancreas . Surg Gynecol Obstet 129:49-52, 1969.
Braasch JW, Vito L, Nugent FW:  Total pancreatectomy for end-stage pancreatitis . Ann Surg 188:317-321, 1978.Article
Frey C, Child CG III, Fry W:  Pancreatectomy for chronic pancreatitis . Ann Surg 184:403-414, 1976.Article
Hogle HH, Reemtsma K:  Pancreatic autotransplantation following resection . Surgery 83:359-360, 1978.
Dobroschke J:  Autotransplantation of Langerhans islets after total duodenopancreatectomy for chronic pancreatitis . Deutsche Med Wochenschr 103:1905-1910, 1978.Article