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01-12-2009

“Paraduodenal” Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution

Authors: L. Casetti, C. Bassi, R. Salvia, G. Butturini, R. Graziani, M. Falconi, L. Frulloni, S. Crippa, G. Zamboni, P. Pederzoli

Published in: World Journal of Surgery | Issue 12/2009

Abstract

Background

Cystic dystrophy of heterotopic pancreas, groove pancreatitis, pancreatic hamartoma of the duodenum, paraduodenal wall cyst, and myoadenomatosis are all terms grouped together, from a pathological viewpoint, as definitions of paraduodenal pancreatitis (PP). The objective of the present study was to investigate the clinical characteristics, therapeutic strategies, and results in 58 patients undergoing pancreatic resection for PP.

Methods

From January 1990 to December 2006 data were prospectively collected on 58 patients who were diagnosed with PP who then underwent pancreaticoduodenectomy.

Results

In this patient cohort the median age was 44.7 years; only 4 patients were women, and only 3 had non-drinker and/or non smoker habits. The overall morbidity was 18.9%, and the median hospitalization was 11 days. There were no postoperative deaths. In a median follow-up of 96.3 months, all patients noted a decrease in the pain associated with PP; 35 patients (76%) had complete disappearance of pain, whereas occasional relapsing pain occurred in the remaining 11 (24%).

Conclusions

Patients with PP have clinical characteristics similar to those of chronic pancreatitis. The diagnostic imaging modalities of choice are ultrasonographic endoscopy and magnetic resonance cholangiopancreaticography. Based on our surgical experience, pancreaticoduodenectomy seems to be a reasonable choice of treatment in patients with PP.

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Title: “Paraduodenal” Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution
Authors: L. Casetti
C. Bassi
R. Salvia
G. Butturini
R. Graziani
M. Falconi
L. Frulloni
S. Crippa
G. Zamboni
P. Pederzoli
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 12/2009
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-0238-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

“Paraduodenal” Pancreatitis: Results of Surgery on 58 Consecutives Patients from a Single Institution

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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