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Table of Contents
Band 22, Suppl. 1, 2006
Issue release date: December 2006
Section title: Übersichtsarbeit · Review Article
Chir Gastroenterol 2006;22(suppl 1):21-26
(DOI:10.1159/000095946)

Chronische Pankreatitis und Schmerz – chirurgische Sicht

Müller S.A. · Welsch T. · Kleeff J. · Schmied B.M. · Büchler M.W. · Friess H. · Schmidt J.
Klinik für Allgemein-, Viszeral- und Unfallchirurgie, Chirurgische Universitätsklinik Heidelberg, Heidelberg, Deutschland

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Article / Publication Details

First-Page Preview
Abstract of Übersichtsarbeit · Review Article

Published online: December 22, 2006
Issue release date: December 2006

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: http://www.karger.com/VIS

Abstract

Therapeutic decisions for chronic pancreatitis (CP) should primarily be based on patient symptoms. Diagnosis can be verified by objective testing including radiological imaging to delineate the extent and localization of the disease. With regard to the chronic pain syndrome associated with CP, radical pancreatic resection provides good long-term results. These procedures have the additional benefit of treating malignant neoplasms of the pancreatic head that may be occasionally present with CP. Before performing a resection in case of benign disease, the surgeon must be confident in his own ability and experiences. In doubt, he should consult a high-volume center. With more than 90% long term pain relief, and supported by the unanimous results of numerous randomized trials, duodenum-preserving pancreas head resection and its modifications are the preferred treatment for symptomatic pancreatitis. However, drainage procedures do remain a good option for pain relief in case of a dilated duct with no signs of pancreatic head pathologies. In the last years, operations combining advantages of resection and drainage have led to satisfactory results, especially in the pain management of small-duct CP.


Article / Publication Details

First-Page Preview
Abstract of Übersichtsarbeit · Review Article

Published online: December 22, 2006
Issue release date: December 2006

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 0

ISSN: 2297-4725 (Print)
eISSN: 2297-475X (Online)

For additional information: http://www.karger.com/VIS


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Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.