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Surgery for nonalcoholic chronic pancreatitis
A K Sharma1, G K Pande, P Sahni
1Department of Gastrointestinal Surgery, All India Institute of Medical Sciences, New Delhi, India.
World Journal of Surgery
|March 12, 1998
Summary
Surgical decompression of the pancreatic duct offers significant pain relief for patients with nonalcoholic chronic pancreatitis. This procedure provides immediate and lasting benefits, improving quality of life for many individuals.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Hepatobiliary Surgery
Background:
- Nonalcoholic chronic pancreatitis is a challenging condition with limited surgical case reports.
- Surgical intervention is often considered for symptom management and complications.
Purpose of the Study:
- To evaluate the outcomes of surgical operations in patients with nonalcoholic chronic pancreatitis.
- To assess the efficacy of pancreatic decompression and management of associated complications.
Main Methods:
- Retrospective analysis of 58 patients undergoing surgery between 1985 and 1995.
- Procedures included pancreaticojejunostomy, cyst drainage, bypass for obstruction, and surgery for portal hypertension.
- Follow-up data collected on pain relief, weight gain, and survival.
Main Results:
- Four patients (7%) died postoperatively. Of 54 survivors, 48 were followed up.
- Among 34 patients operated for pain, 30 reported improvement, with 24 achieving complete pain relief.
- Four patients died from pancreatic cancer during follow-up; 14 patients gained weight.
Conclusions:
- Pancreatic decompression is an effective treatment for pain in nonalcoholic chronic pancreatitis.
- Surgery can lead to lasting pain relief and improved nutritional status.
- Further research into long-term outcomes and oncologic risks is warranted.