Surgical treatment of biliary complications from calcifying chronic pancreatitis.

Abstract:

:Obstructive jaundice in patients with chronic pancreatitis still constitutes a surgical problem deserving the attention of many specialized centers throughout the world. Out of a series of 149 patients operated upon for chronic pancreatitis, 45 (30.2%) with common duct stricture secondary to pancreatic disease have been studied in this series. Eleven patients (24.4%) had transient jaundice, eleven (24.4%) persistent cholestasis and six patients (13.3%) presented cholestasis with cholangitis. Seventeen patients (37.7%) were considered to have asymptomatic biliary tract stenosis. In 37 patients, pancreatic and biliary tract surgery were performed at the same time. There were two postoperative deaths (4.4%) and the late mortality was 9.3%. Choledochojejunostomy was preferred in the treatment of biliary stricture associated with pancreatitis. Cholecystojejunostomy provides inadequate biliary decompression and should not be used in the treatment of these patients. When a pancreatojejunostomy needs to be performed in association with biliary tract decompression, a double intestinal loop technique should be used because it is associated with less morbidity and mortality.

journal_name

Int Surg

journal_title

International surgery

authors

da Cunha JE,Bacchella T,Mott CB,Jukemura J,Abdo EE,Machado MC

subject

Has Abstract

pub_date

1984-04-01 00:00:00

pages

149-54

issue

2

eissn

0020-8868

issn

2520-2456

journal_volume

69

pub_type

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