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Indications for Surgical Treatment of Chronic Pancreatitis

  • Conference paper
Topics in Acute and Chronic Pancreatitis
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Abstract

Any treatment implies a choice which should be based on the principles of decision making. Its overall aim is to get the maximum benefit with the minimum disadvantage, or at least a reasonable risk. In order to do so one must stick to a realistic aim, know the efficacy of the treatment, its side effects, if any, and what might result from either administration or non administration. All this makes up the evaluation of benefits and disadvantages and is based upon the severity of the disease. Accordingly, in a rational therapeutic approach, a suitable monitoring of the clinical and laboratory parameters useful for an estimate of the outcome of the treatment is almost compulsory. This policy requires a great deal of data, collected and estimated on a scientific basis, to be available, so that the key criteria of the treatment are as rational and effective as possible.

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References

  • Amman RW, Largiarder F, Akovbianz A (1979) Pain relief by surgery in chronic pancreatitis? Relationship between pain relief, pancreatic dysfunction, and alcohol withdrawal. Scand J Gastroenterol 14:209–215

    Article  Google Scholar 

  • Barkin J, Vining D, Miale A (1977) Computerized tomography, diagnostic ultrasound and radionuclide scanning. Comparison of efficacy in diagnosis of pancreatic carcinoma. JAMA 238:2040–2042

    Article  PubMed  CAS  Google Scholar 

  • Berger LA, Rhodes JM, Agnew JE, Harrocks RA, Chudleigh PM, Elias E, Summerfield JA (1979) Screening for pancreatic disease: a comparison of grey-scale ultrasonography and isotope scanning. Lancet 1:633–635

    Article  PubMed  CAS  Google Scholar 

  • Bergstrand O, Ahlberg J, Ewerth S, Hellers G, Holmström B (1978) A retrospective study of carcinoma of the pancreas with special reference to the result of surgical treatment. Acta Chir Scand 482:26–28

    CAS  Google Scholar 

  • Bodner E (1979) Diagnostica citologica intraoperatoria. Primo Congresso Internazionale Interdisciplinare su “Bilancio Clinico délie Pancreopatie”. Padenghe sul Garda, Italy, September 14–15th

    Google Scholar 

  • Bradley EL, Clements LJ (1975) Spontaneous resolution of pancreatic pseudocysts. Am J Surg 129:23–28

    Article  PubMed  Google Scholar 

  • Braganza JM, Fawcitt RA, Forbes WSC, Isherwood I, Russell JGB, Prescott M, Testa HJ, Torrance HB, Howat HT (1978) A clinical evaluation of isotope scanning, ultrasonography and computed tomography in pancreatic disease. Clin Radiol 29:639–646

    Article  PubMed  CAS  Google Scholar 

  • Cameron JL (1978) Chronic pancreatic ascites and pancreatic pleural effusions. Gastroenterology 74:134–140

    PubMed  CAS  Google Scholar 

  • Carilli J, Faris TD (1967) Pancreatic pseudocysts: delayed versus immediate treatment. Surgery 61:541–543

    Google Scholar 

  • Cotton PB (1977) ERCP. Gut 18:316–341

    Article  CAS  Google Scholar 

  • Cotton PB, Denyer ME, Kreel L, Husband J, Meire HB, Lees W (1978) Comparative clinical impact of endoscopic pancreatography, grey-scale ultrasonography, and computed tomography (EMI scanning) in pancreatic disease: preliminary report. Gut 19:679–684

    Article  PubMed  CAS  Google Scholar 

  • Davis RE, Graham DY (1975) Pancreatic ascites: the role of endoscopic pancreatography. Am J Dig Dis 20:977–980

    Article  PubMed  CAS  Google Scholar 

  • Dekker A, Lloyd JC (1979) Fine-needle aspiration biopsy in ampullary and pancreatic carcinoma. Arch Surg 114:592–596

    PubMed  CAS  Google Scholar 

  • Donowitz M, Kerstein MD, Spiro HM (1974) Pancreatic ascites. Medicine (Battimore) 53:183–195

    CAS  Google Scholar 

  • Durbec JP, Sarles H (1978) Multicenter survey of the etiology of pancreatic diseases. Relationship between the relative risk of developing chronic pancreatitis and alcohol, protein and lipid consumption. Digestion 18:337–350

    Article  PubMed  CAS  Google Scholar 

  • Dutta SK, Mobrahan S, Iber FL (1978) Associated liver disease in alcoholic pancreatitis. Am J Dig Dis 23:618–622

    Article  PubMed  CAS  Google Scholar 

  • Fedail SS, Salmon PR, Harvey RF, Brown PB, Read AE (1978) Radioimmunoassay of trypsin in pure pancreatic juice. Gut 19:A445

    Google Scholar 

  • Fitzgerald PJ, Fortner JG, Watson RC, Schwartz MK, Sherlock P, Benua RS, Cubilla AL, Schottenfeld D, Miller D, Winawer SJ, Lightdale CJ, Leidner SD, Nisselbaum JS, Menendez-Botet CJ, Poleski MH (1978) The value of diagnostic aids in detecting pancreas cancer. Cancer 41:868–879

    Article  PubMed  CAS  Google Scholar 

  • Gambill EE, Walters W, Scanlon PW (1960) Chronic relapsing pancreatitis with extensive subacute peritonitis and chronic, recurrent massive “chylous” ascites. Am J Med 26:668–670

    Article  Google Scholar 

  • Go VLW, Sheedy PF (1978) Ultrasonography, computed tomography, endoscopic retrograde cholangiography and angiography in the diagnosis of pancreatic cancer. Med Clin North Am 62:129–140

    PubMed  CAS  Google Scholar 

  • Gortenuti G, Cavallini G, Vantini I, Angelini G, Piubello W, Frasson F, Dobrilla G (1978) Angiography in chronic pancreatitis and in pancreatic cancer. Am J Gastroenterol 70:620–626

    PubMed  CAS  Google Scholar 

  • Gullo L, Costa PL, Labò G (1977) Chronic pancreatitis in Italy. Aetiological, clinical and histological observations based on 253 cases. Rend Gastroenterol 9:97–104

    Google Scholar 

  • Hall TJ, Cooper M, Hughes KG, Levin B, Skinner DB, Moossa AR (1977) Pancreatic cancer screening. Analysis of the problem and the role of radionuclide imaging. Am J Surg 134:544–548

    Article  PubMed  CAS  Google Scholar 

  • Hancke S, Holm HH, Koch F (1975) Ultrasonically guided percutaneous fine needle biopsy of the pancreas. Surg Gynecol Obstet 140:361–364

    PubMed  CAS  Google Scholar 

  • Holm HH, Smith EH, Bartrum RJ (1977) The relationship of computed tomography and ultrasonography in the diagnosis of abdominal disease. J Clin Ultrasound 5:230–237

    Article  PubMed  CAS  Google Scholar 

  • Hotz J, Goebell H, Herfarth C, Probst M (1977) Massive pancreatic ascites with carcinoma. Report of three cases. Digestion 15:200–216

    Article  PubMed  CAS  Google Scholar 

  • Johnson ML, Mack LA (1978) Ultrasonic evaluation of the pancreas. Gastrointest Radiol 3:257–266

    Article  PubMed  CAS  Google Scholar 

  • Kavin H, Sobel JD, Dembs A J (1971) Pancreatic ascites treated by irradiation of pancreas. Br Med J 2:503–504

    Article  PubMed  CAS  Google Scholar 

  • Kruse A, Thommesen P, Frederiksen P (1978) Endoscopic retrograde cholangiopancreatography in pancreatic cancer and chronic pancreatitis. Differences in morphologic changes in the pancreatic duct and the bile duct. Scand J Gastroenterol 13:513–517

    Article  PubMed  CAS  Google Scholar 

  • Lake-Bakaar G, McKavanagh S, Summerfield JA (1979) Urinary immunoreactive trypsin excretion: a non-invasive screening test for pancreatic cancer. Lancet 2:878–880

    Article  PubMed  CAS  Google Scholar 

  • Leger L, Lemaigre G, Roscan E, Lenriot JP (1972) Les lésions hépatiques des pancréatites chroniques: 50 observations. Nouv Presse Med 1:2159–2163

    PubMed  CAS  Google Scholar 

  • Levine JB, Warshaw AL, Falchuk KR, Schapiro RH (1977) The value of endoscopie retrograde pancreatography in the management of pancreatic ascites. Surgery 81:360–362

    PubMed  CAS  Google Scholar 

  • Limburg AJ, Roos J (1979) Symptoms in cancer of the pancreas. J R Coll Physicians Lond 13:90–92

    PubMed  CAS  Google Scholar 

  • Mackie CR, Dhorajiawala J, Blackstone MO, Bowie J, Moossa AR (1979) Value of new diagnostic aids in relation to the disease process in pancreatic cancer. Lancet 2:385–389

    Article  PubMed  CAS  Google Scholar 

  • Moossa AR, Lewis MH, Mackie CR (1979) Surgical treatment of pancreatic cancer. Mayo Clin Proc 54:468–477

    PubMed  CAS  Google Scholar 

  • Morgan RGH, Wormsley KG (1977) Cancer of the pancreas. Gut 18:580–596

    Article  PubMed  CAS  Google Scholar 

  • Oscarson T, Stormby N, Sundgren R (1972) Selective arteriography in fine-needle aspiration cytodiagnosis of gastric and pancreatic tumors. Acta Radiol (Stockh) 12:737–750

    CAS  Google Scholar 

  • Osnes M, Serck-Hanssen A, Myren J (1975) Endoscopic retrograde brush cytology (ERBC) of the biliary and pancreatic ducts. Scand J Gastroenterol 10:829–831

    PubMed  CAS  Google Scholar 

  • Osnes M, Serck-Hanssen A, Kristensen O, Swensen T, Aune S, Myren J (1979) Endoscopic retrograde brush cytology in patients with primary and secondary malignancies of the pancreas. Gut 20:279–284

    Article  PubMed  CAS  Google Scholar 

  • Pacifico AD, March ER, Diethelm AG (1971) Pancreatic ascites associated with an internal pancreatic fistula: case report and review of the literature. Am J Surg 37:331–334

    CAS  Google Scholar 

  • Rawlings W, Turner EB, Pasternak G (1977) Pancreatic ascites: diagnosis of leakage site by endoscopic pancreatography. Surgery 81:363–365

    PubMed  CAS  Google Scholar 

  • Sankaran S, Sugawa C (1979) Value of endoscopic retrograde pancreatography in pancreatic ascites. Surg Gynecol Obstet 2:185–192

    Google Scholar 

  • Sankaran S, Walt AJ (1975) The natural and unnatural history of pancreatic pseudocysts. Br J Surg 62:37–44

    Article  PubMed  CAS  Google Scholar 

  • Sarles H, Sahel J (1978) Cholestasis and lesions of the biliary tract in chronic pancreatitis. Gut 19:851–857

    Article  PubMed  CAS  Google Scholar 

  • Sarles H, Sarles JC, Camatte R, Muratore R, Gaini M, Guien C, Pastor J, LeRoy F (1965) Observations on 205 confirmed cases of acute pancreatitis, recurrent pancreatitis and chronic pancreatitis. Gut 6:545–559

    Article  PubMed  CAS  Google Scholar 

  • Sarles H, Payan H, Tasso F, Sahel J (1976) Chronic pancreatitis, relapsing pancreatitis, calcifications of pancreas. Part I. Pathology. In: Bockus HL (ed) Gastroenterology. Saunders, Philadelphia, p 1040

    Google Scholar 

  • Sarles H, Cros RC, Bidart JM, and the International Group for the Study of Pancreatic Disease (1979) A multicenter inquiry into the etiology of pancreatic diseases. Digestion 19:110–125

    Article  PubMed  CAS  Google Scholar 

  • Sottomayor M, Nom Chong R, Dawson M (1978) Use of ERCP in the diagnosis of internal pancreatic fistula. Gut 19:244–246

    Article  PubMed  CAS  Google Scholar 

  • Strum WB, Spiro HM (1971) Chronic pancreatitis. Ann Intern Med 74:264–277

    PubMed  CAS  Google Scholar 

  • Suzuki T, Kawabe K, Imamura M, Hanjo I (1972) Survival of patients with cancer of the pancreas in relation to findings on arteriography. Ann Surg 176:37–41

    Article  PubMed  CAS  Google Scholar 

  • Taguchi K (1978) Immunologic detection of primary carcinoma of the pancreas. Can J Surg 21:313–315

    PubMed  CAS  Google Scholar 

  • Tori G, Scuro LA, Marabini A, Franchi R, Dobrilla G (1975) Scintigraphic pancréatique et test par la secrétine-pancréozymine dans l’exploration fonctionnelle du pancréas exocrine. J Radiol Electrol Med Nucl 56:521–523

    PubMed  Google Scholar 

  • Tylén U, Arnesjö B, Lindberg LG, Lunderquist A, Akerman M (1976) Percutaneous biopsy of carcinoma of the pancreas guided by angiography. Surg Gynecol Obstet 142:737–739

    PubMed  Google Scholar 

  • Vantini I (1979) Epidemiologia della pancreatite cronica in Italia. In: Gaia E, Bonardi R (eds) Pancreatite cronica. New Medical Press, Torino, p 5

    Google Scholar 

  • Vantini I, Piubello W, Cavallini G, Ederle A, Benini L, Scuro LA (1978) Chronic pancreatitis in North-East Italy: a clinical and pathological study. Acta Hepatogastroenterol (Stuttg) 25:130–135

    CAS  Google Scholar 

  • Warshaw AL, Schapiro RH, Ferrucci JT, Galdabini J J (1976) Persistent obstructive jaundice, cholangitis and biliary cirrhosis due to common bile duct stenosis in chronic pancreatitis. Gastroenterology 70:562–567

    PubMed  CAS  Google Scholar 

  • Wittemberg J, Ferrucci JT (1978) Computed body tomography. Gastroenterology 74:287–293

    Google Scholar 

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© 1981 Springer-Verlag Berlin Heidelberg

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Vantini, I., Cavallini, G. (1981). Indications for Surgical Treatment of Chronic Pancreatitis. In: Scuro, L.A., Dagradi, A., Marzoli, G.P., Pederzoli, P., Cavallini, G., Banterle, C. (eds) Topics in Acute and Chronic Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67879-0_16

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  • DOI: https://doi.org/10.1007/978-3-642-67879-0_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10439-1

  • Online ISBN: 978-3-642-67879-0

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