Surgery of chronic pancreatitis

Charles F. Frey, Dana K. Andersen

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Chronic pancreatitis is a progressive disease of multiple etiologies. Surgery is frequently indicated for relief of debilitating pain as well as to address other complications, and three operations have proven effective. The pancreatico-duodenectomy (Whipple) procedure results in excellent long-term pain relief, but is associated with a low mortality rate and a persistent risk of early and late complications. The duodenum-preserving pancreatic head resection (DPPHR) introduced by Beger et al, and the local resection of the pancreatic head with longitudinal pancreatico-jejunostomy (LR-LPJ) devised by Frey, achieve the same high rate of pain relief long term but are associated with lower rates of perioperative complications and a decreased incidence of diabetes long term. All 3 operations address the head of the pancreas as the nidus of persistent inflammation, and all 3 achieve success with both dilated and nondilated duct disease. The LR-LPJ has a lower risk of perioperative problems and may be easier to perform.

Original languageEnglish (US)
Pages (from-to)S53-S60
JournalAmerican journal of surgery
Volume194
Issue number4 SUPPL.
DOIs
StatePublished - Oct 1 2007
Externally publishedYes

Keywords

  • Beger procedure
  • Chronic pancreatitis
  • Duodenum-preserving pancreatic head resection
  • Frey procedure
  • Local resection of the pancreatic head with longitudinal pancreatico-jejunostomy
  • Whipple procedure

ASJC Scopus subject areas

  • Surgery

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