The purpose of this exhibit is to present the practical aspects of the etiologic mechanisms and the surgical management of this disease.
Pancreatitis is a disease of multiple causes.
Repeated episodes of pancreatitis, edema, and necrosis lead to chronic pancreatitis.
Pancreatic ductal obstruction exists in most instances.
The majority of cases are associated with biliary tract disease and/or alcoholism.
In some patients no causative factor can be found.
The incidence of alcoholism in patients with pancreatitis is high. Alcohol stimulates pancreatic flow and at the same time causes pancreatic ductal obstruction.
Other causes of pancreatitis are as follows:TraumaMetabolic disturbancesHeredityToxic conditionsVascularInfection
Surgical Management Selection of Patients
IndicationsDemonstrable biliary tract diseaseIntractable painDuodenal loop changes with or withoutobstructionQuestionable carcinomaProgressive pancreatic insufficiencyPancreatic calcinosisContraindicationsContinuing alcoholismContinuing drug addictionSurgical procedures must be altered to meet the varied
HILL LD, STONE CS, BAKER JW, et al. Surgical Management of Chronic Pancreatitis. AMA Arch Surg. 1959;79(6):950–955. doi:10.1001/archsurg.1959.04320120092010
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