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Vol. 19, No. 1, 2002
Issue release date: 2002
Section title: Original Paper
Dig Surg 2002;19:28–35
(DOI:10.1159/000052002)

Clinical Experience with Different Techniques of Pancreatic Head Resection for Chronic Pancreatitis / with Invited Commentary

Kelemen D. · Horváth Ö.P.
Department of Surgery, Medical Faculty, Pécs University, Pécs, Hungary

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 4/8/2002

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 7

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

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

Abstract

Background/Aims: Recently organ-saving procedures have become popular in the treatment of chronic pancreatitis with head enlargement. The purpose of this study is to compare the results of three different procedures. Methods: Between 1991 and 1998, 32 Beger operations, 13 Frey procedures and 21 pylorus-preserving pancreatoduodenectomies (PPPDs) were performed. The pre-, intra- and postoperative data were detailed. During the follow-up examination the quality of life, body weight, consumption of alcohol and enzymes, as well as the carbohydrate metabolism were checked. Results: Considering the operative and late mortality and reoperation rate, there was no difference between the procedures. The postoperative hospitalization time was the shortest after the duodenum-preserving pancreatic head resections (Beger and Frey). While the rate of early morbidity was higher after PPPDs, there was no difference in late morbidity between the groups. The condition of the patients was better and the development rate of diabetes was lower after the Beger procedure than after PPPDs. Conclusion: Consequently duodenum-preserving pancreatic head resections seem to be more advantageous than PPPD. Nevertheless the latter operation is the only possibility in some situations.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Published online: 4/8/2002

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 7

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

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


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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 goverment 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.
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