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Surgery for pancreas divisum

Surgery for pancreas divisum
Surgery for pancreas divisum
We present our experience of open surgical treatment in 5 patients with symptomatic pancreas divisum (PD). Choice of therapy was based on allocation of patients to one of five clinical presentation groups: (i) with minor symptoms (no operation); (ii) with recurrent acute pancreatitis or upper abdominal pain (RAP/RUAP)--3 patients; (iii) with radiological evidence of chronic pancreatitis (CP)--1 patient; (iv) chronic pancreatic pain without radiological evidence of chronic pancreatitis (CPP); and (v) other pancreatic complications--1 patient. This classification helps to decide management and predict possible outcome. Various types of operation were performed as indicated (open surgical accessory sphincteroplasty [2 also had distal pancreatectomy], n = 3; Puestow's operation, n = 1; or Beger's pancreatectomy, n = 1). All patients improved significantly and are now leading normal personal, professional, and social lives. We conclude that, with careful selection of patients and appropriate therapy, the response to surgical treatment is good.
0035-8843
166-169
Varshney, S.
b1b8d045-dec2-4699-a84b-db21c25b0acf
Johnson, C.D.
e50aa9cd-8c61-4fe3-a0b3-f51cc3a6c74a
Varshney, S.
b1b8d045-dec2-4699-a84b-db21c25b0acf
Johnson, C.D.
e50aa9cd-8c61-4fe3-a0b3-f51cc3a6c74a

Varshney, S. and Johnson, C.D. (2002) Surgery for pancreas divisum. Annals of The Royal College of Surgeons of England, 84 (3), 166-169.

Record type: Article

Abstract

We present our experience of open surgical treatment in 5 patients with symptomatic pancreas divisum (PD). Choice of therapy was based on allocation of patients to one of five clinical presentation groups: (i) with minor symptoms (no operation); (ii) with recurrent acute pancreatitis or upper abdominal pain (RAP/RUAP)--3 patients; (iii) with radiological evidence of chronic pancreatitis (CP)--1 patient; (iv) chronic pancreatic pain without radiological evidence of chronic pancreatitis (CPP); and (v) other pancreatic complications--1 patient. This classification helps to decide management and predict possible outcome. Various types of operation were performed as indicated (open surgical accessory sphincteroplasty [2 also had distal pancreatectomy], n = 3; Puestow's operation, n = 1; or Beger's pancreatectomy, n = 1). All patients improved significantly and are now leading normal personal, professional, and social lives. We conclude that, with careful selection of patients and appropriate therapy, the response to surgical treatment is good.

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Published date: 2002

Identifiers

Local EPrints ID: 26651
URI: http://eprints.soton.ac.uk/id/eprint/26651
ISSN: 0035-8843
PURE UUID: 2543fca7-5c79-4030-bc4e-5bb3483fbc50

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Date deposited: 21 Apr 2006
Last modified: 08 Jan 2022 01:04

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Contributors

Author: S. Varshney
Author: C.D. Johnson

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