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Changes in gastric acidity after ductal decompression in patients with chronic pancreatitis
1Second Department of Surgery, University Medical School of Debrecen, Hungary.
Objective:
To find out whether pancreatic juice released into the stomach has any effect on gastric acidity, and to evaluate the results of operation.
Design:
Prospective study.
Setting:
University Hospital, Hungary.
Subjects:
55 patients with chronic pancreatitis.
Interventions:
27 pancreaticogastrostomies, 8 pancreaticocystogastrostomies, and 20 pancreaticojejunostomies. Gastric pH monitoring.
Main Outcome Measures:
Alterations in pH after pancreaticogastrostomy.
Results:
The operations were equally effective for the relief of pain (48/55, 87%) and 46 (84%) had no digestive disorders because they took pancreatic enzyme substitutes. There were no significant differences in gastric pH between the groups.
Conclusions:
Although this study was not randomised, the results suggest that pancreaticogastrostomy is a good operation for the relief of intractable pain in selected patients with chronic pancreatitis associated with duct dilatation.