Resection for pancreatitis in patients with pancreas divisum.
AUTOR(ES)
Blair, A J
RESUMO
Pancreas divisum is an anatomic duct variant, which may predispose to pancreatitis. Most patients are managed conservatively, but some patients justify attempts to improve drainage. The correct surgical approach is not yet established, and there has been no series published concerning pancreatic resection in this context. A 6-year experience with resection performed in 14 patients with severe pain is reported. There were no operative deaths, and 11 patients had good pain relief; steatorrhea developed in two patients and diabetes in one. The hypothesis that pancreas divisum may cause pancreatitis is supported by examination of resection specimens after pancreaticoduodenectomy; the dorsal part showed chronic pancreatitis and the ventral portion was normal.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1250541Documentos Relacionados
- False pancreas divisum. Acquired pancreatic duct obstruction simulating the congenital anomaly.
- The course of traumatic pancreatitis in a patient with pancreas divisum: a case report
- Local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy in the management of patients with chronic pancreatitis.
- Pancreas divisum: is it a surgical disease?
- Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis. A prospective, randomized trial.