The researchers investigated the outcomes of duodenum-preserving pancreatic head resection (DPPHR) for chronic pancreatitis.
They reported their findings in the January issue of the American Journal of Surgery.
Common bile duct stenosis is one of the most frequent complications in chronic pancreatitis with inflammatory mass in the head of the pancreas.
The authors re-evaluated a total of 474 patients who underwent DPPHR between 1982 and 1998.
|75% of patients were pain-free after DPPHR.
| American Journal of Surgery |
Of these, 219 patients (46%), with a mean duration of the disease of 45 months, had a radiologically proven common bile duct stenosis.
One patient (0.5%) died of septic complications in the early postoperative course. A further 15 patients (7%) had to be reoperated on for complications.
A follow-up investigation of 143 patients (92%) revealed a late mortality of 12%; no patient died of biliary complications.
The investigators found that 75% of the patients were completely free of pain.
In addition, 85% of the patients had a constant or even increasing body weight.
Dr W. Schlosser, of the Department of General Surgery at the University of Ulm, concluded on behalf of fellow authors, "The high percentage of pain-free patients with improved physical status and economical rehabilitation demonstrates the improvement of the quality of life after DPPHR for complicated chronic pancreatitis."