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Langenbeck's Archives of Surgery

Published in:

01-02-2011 | Review Article

Chronic pancreatitis: modern surgical management

Authors: Kai Bachmann, Jakob R. Izbicki, Emre F. Yekebas

Published in: Langenbeck's Archives of Surgery | Issue 2/2011

Abstract

Introduction

Chronic pancreatitis (CP) is a disease with enormous social and personal impact. It is most commonly caused by the abuse of alcohol combined with nicotine. CP is usually characterised by an inflammatory mass located in the pancreatic head. Its natural course is characterised by persistent or recurrent painful attacks as well as progressive loss of pancreatic function due to fibrosis of the parenchyma with consecutive endocrine and exocrine insufficiency.

Conclusions

The only success parameter of any treatment is the effective long-lasting pain relief and improvement in the quality of life. The surgical armamentarium includes simple drainage procedures, resections of different extents or a combination of both. Duodenum-preserving resection of the pancreas offers the best short-term outcome according to trials conducted so far. It has the benefit of combining the highest safety with the highest efficiency. Additionally, the extent of the operation can be adapted to the morphology of the individual patient.

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Title: Chronic pancreatitis: modern surgical management
Authors: Kai Bachmann
Jakob R. Izbicki
Emre F. Yekebas
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 2/2011
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-010-0732-0

At a glance: The STEP trials

Springer Medicine

Chronic pancreatitis: modern surgical management

Abstract

Introduction

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Conclusions

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