Surgery for pancreas divisum

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


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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.

Item Type: Article
ISSNs: 0035-8843 (print)
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ePrint ID: 26651
Date :
Date Event
Date Deposited: 21 Apr 2006
Last Modified: 16 Apr 2017 22:32
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