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Correspondence and Brief Communications
January 1, 2005

Pancreatic Head Excavation: An Update

Arch Surg. 2005;140(1):98. doi:10.1001/archsurg.140.1.98-b

Since the publication of our article titled “Pancreatic Head Excavation: A Variation on the Theme of Duodenum-Preserving Pancreatic Head Resection,”1 we have become aware of 2 other reports that had previously described a similar technical variation. In 2001, Gloor et al2 from the University of Bern in Switzerland described a similar variation of duodenum-preserving pancreatic head resection, which they advocated for patients with chronic pancreatitis associated with portal hypertension. These authors described the use of this method “in a few patients” without providing details of outcome. In 2003, Farkas et al3 from the University of Szeged in Hungary reported on 30 patients with chronic pancreatitis in whom a similar method had been employed. They observed the uniform absence of major complications, as we did, and the absence of symptoms after 6 to 14 months of follow-up. Subsequently, in June 2004, at the 36th Annual Meeting of the European Pancreatic Club in Padova, Italy, these same authors from the University of Szeged provided an updated report of then 100 patients with chronic pancreatitis in whom this technique had been used.4