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May 3, 1947

PANCREOLITHIASIS AND CHRONIC PANCREATITISPreliminary Report of a Case of Apparently Successful Treatment by Transthoracic Sympathectomy and Vagectomy

JAMA. 1947;134(1):20-21. doi:10.1001/jama.1947.72880180001006

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This preliminary report is made in order that the method of treatment herein described may be called to the attention of those interested in the alleviation of the symptoms of chronic pancreatitis and pancreolithiasis. Up to the present all therapeutic methods employed, either medicinal or surgical, have been unsuccessful from the point of view of the relief of pain, which constitutes the essential disabling factor in this clinical syndrome. Various surgical procedures have been carried out for relief of this excruciating pain, and all have been essentially unsuccessful. These procedures consisted of partial or complete pancreatectomy, ligation of the pancreatic ducts and various operations on the biliary tract.

In the patient whose treatment forms the basis of this report, an unsuccessful result was obtained from a partial pancreatectomy, plus ligation of the duct of Wirsung, performed in 1939. After bilateral transthoracic vagectomy and sympathectomy performed in April 1946, the patient

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