Chronic pancreatitis surgery
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Chronic pancreatitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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American Pancreatic Association Practice Guidelines |
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Chronic pancreatitis surgery On the Web |
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American Roentgen Ray Society Images of Chronic pancreatitis surgery |
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Risk calculators and risk factors for Chronic pancreatitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Surgery for Chronic Pancreatitis tends to be divided into two areas - resectional and drainage procedures.[1]
Surgery
| Chronic pancreatitis causing intractable abdominal pain | |||||||||||||||||||||||||||||||||||||||||
| Dilated pancreatic duct (>6-7mm) | Non dilated pancreatic duct (<6-7mm) | ||||||||||||||||||||||||||||||||||||||||
| Fibrosis in the head of pancreas Poor drainage | Head-dominant disease | Tail-dominant disease | Diffuse parenchymal involvement | ||||||||||||||||||||||||||||||||||||||
| No | Yes | ||||||||||||||||||||||||||||||||||||||||
| Lateral pancreaticojejunostomy (Puestow procedure) | Lateral pancreaticojejunostomy with localized pancreatic head resection (Frey procedure) | Classic pancreaticoduodenectomy OR pylorus-preserving pancreaticoduodenectomy OR Duodenum-preserving pancreatic head resection (Beger procedure) | Distal pancreatectomy | Total pancreatectomy with islet autotransplantation | |||||||||||||||||||||||||||||||||||||
Surgery for the pain management:
1. Dilated pancreatic duct:
1.1 Lateral pancreaticojejunostomy
1.2 Lateral pancreaticojejunostomy with localized pancreatic head resection
2. Nondilated pancreatic duct:
Surgery for the management of complications:
References
- ↑ Society for Surgery of the Alimentary Tract (SSAT) (2004). "Operative treatment for chronic pancreatitis". Retrieved 2007-06-09.