Duodenum-preserving pancreatic head resection leads to relief of common bile duct stenosis.

Abstract:

BACKGROUND:Common bile duct stenosis (CBDS) is one of the most frequent complications in chronic pancreatitis with inflammatory mass in the head of the pancreas (IMH). METHODS:A total of 474 patients who underwent duodenum-preserving pancreatic head resection (DPPHR) between 1982 and 1998 were reevaluated; 219 patients (46%) with a mean duration of the disease of 45 months had a radiologically proven CBDS. RESULTS:One patient (0.5%) died of septic complications in the early postoperative course, 15 patients (6.8%) had to be reoperated on for complications. A follow-up investigation of 143 patients (92%) revealed a late mortality of 12%; no patient died of biliary complications. Seventy-five percent of the patients were completely free of pain, and 85% of the patients had a constant or even increasing body weight. CONCLUSIONS:The high percentage of pain-free patients with improved physical status and economical rehabilitation demonstrates the improvement of the quality of life after DPPHR for complicated chronic pancreatitis.

journal_name

Am J Surg

authors

Schlosser W,Poch B,Beger HG

doi

10.1016/s0002-9610(01)00713-9

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

37-41

issue

1

eissn

0002-9610

issn

1879-1883

pii

S0002961001007139

journal_volume

183

pub_type

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