Total pancreatectomy with preservation of the duodenum and pylorus for chronic pancreatitis.

Abstract:

:In an effort to minimize the nutritional complications that follow resection of the pancreas for severe chronic pancreatitis, the authors have performed a duodenum-preserving total pancreatectomy in eight patients for severe unremitting pain requiring large doses of opiate analgesia. Good relief of pain was obtained in six patients (75%), in whom the quality of life was undoubtedly improved. There were no problems with the control of diabetes after this procedure in any of these patients, and no patient has suffered any hypoglycemic attacks requiring medical treatment. This improved control of the diabetic state is probably related to a more physiologic state of the upper digestive tract, enabling a normal food intake. The authors found the operation to be technically difficult, however, and although there were no post-operative deaths, major complications were encountered in four patients. These consisted of postoperative bleeding requiring reoperation (two patients), sepsis, and a duodenal fistula, which progressed to stenosis.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Easter DW,Cuschieri A

doi

10.1097/00000658-199111000-00007

subject

Has Abstract

pub_date

1991-11-01 00:00:00

pages

575-80

issue

5

eissn

0003-4932

issn

1528-1140

journal_volume

214

pub_type

杂志文章
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  • Predictive index for long-term survival after retransplantation of the liver in adult recipients: analysis of a 26-year experience in a single center.

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    doi:10.1097/SLA.0b013e31822c5878

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    更新日期:2011-09-01 00:00:00

  • Surgical management of papillary and follicular carcinoma of the thyroid.

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    doi:10.1097/00000658-198012000-00001

    authors: Farrar WB,Cooperman M,James AG

    更新日期:1980-12-01 00:00:00

  • Registration rates, adequacy of registration, and a comparison of registered and published primary outcomes in randomized controlled trials published in surgery journals.

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    更新日期:2014-01-01 00:00:00

  • Multiple systems organ failure. Modulation of hepatocyte protein synthesis by endotoxin activated Kupffer cells.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:

    authors: Keller GA,West MA,Cerra FB,Simmons RL

    更新日期:1985-01-01 00:00:00

  • The impact of Clostridium difficile on a surgical service: a prospective study of 374 patients.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199802000-00021

    authors: Kent KC,Rubin MS,Wroblewski L,Hanff PA,Silen W

    更新日期:1998-02-01 00:00:00

  • Effects of bombesin on fasting bile formation.

    abstract::Adult dogs were previously prepared by cholecystectomy, ligation of the lesser pancreatic duct, and insertion of cannulae into the duodenum and stomach. After a 2-week period of postoperative recovery and an overnight fast, bile ducts were cannulated, gastric cannulae placed to open drainage and sodium taurocholate 50...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198601000-00001

    authors: Kortz WJ,Nashold JR,Delong E,Meyers WC

    更新日期:1986-01-01 00:00:00

  • The effects of metoclopramide on postoperative ileus. A randomized double-blind study.

    abstract::Metoclopramide or placebo was administered postoperatively in a randomized, double-blind fashion to 115 patients undergoing laparotomy. The effect of metoclopramide on postoperative adynamic ileus (PAI) was evaluated. The patients were stratified into two groups: Group A--those with laparotomy without a gastrointestin...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000658-197907000-00006

    authors: Davidson ED,Hersh T,Brinner RA,Barnett SM,Boyle LP

    更新日期:1979-07-01 00:00:00

  • Use of radionuclide imaging in the early diagnosis and treatment of renal allograft rejection.

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    journal_title:Annals of surgery

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    doi:10.1097/00000658-197505000-00013

    authors: Mandel SR,Mattern WD,Staab E,Johnson G Jr

    更新日期:1975-05-01 00:00:00

  • K-ras oncogene mutations indicate malignancy in cystic tumors of the pancreas.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199807000-00012

    authors: Bartsch D,Bastian D,Barth P,Schudy A,Nies C,Kisker O,Wagner HJ,Rothmund M

    更新日期:1998-07-01 00:00:00

  • Transvaginal natural orifice translumenal endoscopic surgery cholecystectomy: early evolution of the technique.

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    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/SLA.0b013e3181a802e2

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    更新日期:2009-06-01 00:00:00

  • Smaller Inguinal Hernias are Independent Risk Factors for Developing Chronic Postoperative Inguinal Pain (CPIP): A Registry-based Multivariable Analysis of 57, 999 Patients.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

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    authors: Hoffmann H,Walther D,Bittner R,Köckerling F,Adolf D,Kirchhoff P

    更新日期:2020-04-01 00:00:00

  • Brush border transport of glutamine and other substrates during sepsis and endotoxemia.

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    pub_type: 杂志文章

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    更新日期:1991-05-01 00:00:00

  • Subclassification of Microscopic Vascular Invasion in Hepatocellular Carcinoma.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    pub_type: 杂志文章

    doi:10.1097/00000658-199605000-00005

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    更新日期:1996-05-01 00:00:00

  • Lung vascular injury with protease infusion. Relationship to plasma fibronectin.

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    pub_type: 杂志文章

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  • Laser surgery in exsanguinating liver injury.

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    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197501000-00016

    authors: Fidler JP,Hoefer RW,Polanyi TG,Bredemeier HC,Siler VE,Altemeier WA

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  • Desmoid-type fibromatosis and pregnancy: a multi-institutional analysis of recurrence and obstetric risk.

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    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

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    更新日期:2014-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3182125ce7

    authors: Javed A,Pal S,Dash NR,Sahni P,Chattopadhyay TK

    更新日期:2011-07-01 00:00:00

  • Interleukin-6 in the injured patient. Marker of injury or mediator of inflammation?

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    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199611000-00009

    authors: Biffl WL,Moore EE,Moore FA,Peterson VM

    更新日期:1996-11-01 00:00:00

  • The LeVeen shunt in the elective treatment of intractable ascites in cirrhosis. A prospective study on 140 patients.

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    pub_type: 杂志文章

    doi:10.1097/00000658-198504000-00014

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    更新日期:1985-04-01 00:00:00

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    更新日期:2012-06-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1983-10-01 00:00:00

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  • Abdominal gunshot wounds. An urban trauma center's experience with 300 consecutive patients.

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