TY - JOUR
T1 - Surgery and chronic pancreatitis
AU - Cooperman, A. M.
PY - 2001
Y1 - 2001
N2 - It is hoped that, in this millennium, chronic pancreatitis will be diagnosed earlier in the course of the disease process. Improved axial imaging of the pancreatic duct and pancreatic parenchyma will diminish the need for other invasive tests. Surgical procedures are directed at pancreatic duct decompression or resection of the pancreas (head, body or tail) or, infrequently, total pancreatectomy. Pain relief in 75% to 90% is the general rule, with diabetes developing subsequently in as many as 33% of patients. Surgery for chronic pancreatitis is effective in correcting sequelae of pancreatic fibrosis. Endoscopic stenting of the pancreatic and bile duct is used more frequently today. Until their place is ascertained, careful performance of surgery will continue to be a mainstay of treatment.
AB - It is hoped that, in this millennium, chronic pancreatitis will be diagnosed earlier in the course of the disease process. Improved axial imaging of the pancreatic duct and pancreatic parenchyma will diminish the need for other invasive tests. Surgical procedures are directed at pancreatic duct decompression or resection of the pancreas (head, body or tail) or, infrequently, total pancreatectomy. Pain relief in 75% to 90% is the general rule, with diabetes developing subsequently in as many as 33% of patients. Surgery for chronic pancreatitis is effective in correcting sequelae of pancreatic fibrosis. Endoscopic stenting of the pancreatic and bile duct is used more frequently today. Until their place is ascertained, careful performance of surgery will continue to be a mainstay of treatment.
UR - http://www.scopus.com/inward/record.url?scp=0035014424&partnerID=8YFLogxK
U2 - 10.1016/S0039-6109(05)70131-6
DO - 10.1016/S0039-6109(05)70131-6
M3 - Article
C2 - 11392430
AN - SCOPUS:0035014424
SN - 0039-6109
VL - 81
SP - 431
EP - 455
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 2
ER -