| Subtotal resection of the head of the pancreas combined with ductal obliteration of the distal pancreas in chronic pancreatitis. | |
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MedLine Citation:
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PMID: 3827358 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Subtotal resection of the head of the pancreas combined with duct obliteration of the distal pancreas by prolamine was performed in 12 selected patients who had chronic alcohol-induced pancreatitis with most destruction in the proximal pancreas. The main indication for operation was intractable pain. There was no postoperative mortality but morbidity was high when no pancreaticojejunostomy was constructed. After a follow-up period of 32 months, lasting pain relief was obtained in 10 patients; pseudocyst formation occurred in three patients; calcification of the distal pancreas, absent before operation, was demonstrated in four of six patients; six of 11 nondiabetic patients became hyperglycemic either abruptly (1 patient) or progressively (5 patients); quality of life improved in most patients. This procedure preserves the stomach, duodenum, spleen, distal pancreas and common bile duct if possible. However, pancreatic ductal obliteration with prolamine does not prevent relapses of chronic pancreatitis. |
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Authors:
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R P Kerremans; F M Penninckx; J De Groote; J Fevery |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of surgery Volume: 205 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1987 Mar |
Date Detail:
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Created Date: 1987-04-03 Completed Date: 1987-04-03 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 240-5 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Calcinosis / etiology Chronic Disease Diabetes Mellitus, Type 1 / etiology Diatrizoate* Drug Combinations Fatty Acids* Follow-Up Studies Humans Hyperglycemia / etiology Male Middle Aged Pancreatectomy / adverse effects, methods*, mortality Pancreatic Ducts Pancreatic Pseudocyst / etiology Pancreatitis / pathology, physiopathology, surgery* Propylene Glycols* Proteins / therapeutic use* Quality of Life Zein* |
| Chemical | |
Reg. No./Substance:
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0/Drug Combinations; 0/Fatty Acids; 0/Propylene Glycols; 0/Proteins; 117-96-4/Diatrizoate; 9010-66-6/Zein; 91196-33-7/alcoholic prolamine solution |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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