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Pancreatojejunostomy in Combination with Transduodenal Pancreatic Sphincteroplasty

  • K. D. Rumpf
  • H. Bunzendahl
Conference paper

Abstract

Long-standing chronic pancreatitis dramatically interferes with pancreatic function and the well-being of the patient. Digestion and metabolism are impaired, and resulting diabetes and malnutrition are often grave. Relapsing abdominal pain may be severe and long lasting, leading to impaired social function. Surgery has its place in treating disabling pain and possibly interfering with pancreatic self-destruction. The ideal operation for chronic pancreatitis is a low-risk procedure that releaves pain completely and predictably and preserves pancreatic function. Most surgeons have preferred pancreatic resections during the past 20 years. We now believe that complete drainage of the pancreas may come closer to those requirements. A complete decrompression of the pancreas appears to be feasible in the treatment of severe pain without loss of organ function due to surgery.

Keywords

Chronic Pancreatitis Pancreatic Duct Pancreatic Resection Pancreatic Function Drainage Procedure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Cattel RB (1947) Anastomosis of the duct of Wirsung; its use in palliative operation for cancer of the head of the pancreas. Surg Clin North Am 27:636Google Scholar
  2. 2.
    Du Val MK (1954) Caudal pancreatico-jejunostomy for chronic pancreatitis. Ann Surg 140:775CrossRefGoogle Scholar
  3. 3.
    Léger L, Détrie P, Chapuis Y (1961) Làvenir des wirsungojéjunostomies. A propos des 10 observations contrôlées. J Chir (Paris) 82:577Google Scholar
  4. 4.
    Mercardier M (1964) Affections du foire, des voies biliaires, de la rate et du pancréas. In: Traité de thérapeutique chirurgical, vol 4. Masson, ParisGoogle Scholar
  5. 5.
    Partington PF, Rochel REL (1060) Modified Puestow procedure for retrograde drainage of the pancreatic duct. Ann Surg 152:1037CrossRefGoogle Scholar
  6. 6.
    Prinz RA, Greenlee HB (1981) Pancreatic duct drainage in 100 patients with chronic pancreatitis. Ann Surg 194:313PubMedCrossRefGoogle Scholar
  7. 7.
    Puestow CB, Gillesby WJ (1958) Retrograde surgical drainage of pancreas for chronic relapsing pancreatitis. AMA Arch Surg 76:898PubMedGoogle Scholar
  8. 8.
    Rumpf KD (1984) Die chirurgische Therapie der chronischen Pankreatitis: Verfahrenstechniken und Indikationen. Aktuel Chir 6:19Google Scholar
  9. 9.
    Rumpf KD, Pichlmayr R (1983) Eine Methode zur chirurgischen Behandlung der chronischen Pankreatitis. Die transduodenale Pankreaticoplastik. Chirurg 54:722PubMedGoogle Scholar
  10. 10.
    Warshaw AL, Popp JW, Schapiro RH (1980) Long-term patency, pancreatic function, and pain relief after lateral pancreaticojejunostomy for chronic pancreatitis. Gastroenterology 79:289PubMedGoogle Scholar
  11. 11.
    White TT, Slavotinek AH (1975) Results of surgical treatment of chronic pancreatitis. Ann Surg 189:217CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • K. D. Rumpf
    • 1
  • H. Bunzendahl
    • 2
  1. 1.Klinik für Allgemein- und AbdominalchirurgieStädtisches KlinikumFuldaGermany
  2. 2.Klinik für Abdominal- und TransplantationschirurgieMedizinische HochschuleHannoverGermany

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