Abstract
Chronic pancreatitis (CP) is predominantly a chronic inflammatory disease that is being detected with increasing frequency. While chronic alcohol intake is associated with the development of CP, gene mutations have also been linked to both hereditary and possibly tropical forms of the disease. Independent of the etiology, CP is usually discovered at a stage when the morphologic and inflammatory changes are similar in all variants (Shrikhande et al. 2003). Recurrent, often severe, pain is the dominant and classic symptom of CP that necessitates treatment and is the single most important reason for patients to consult the clinician and ultimately the surgeon (Shrikhande et al. 2002).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Augustine P, Ramesh H (1992) Is tropical pancreatitis premalignant? Am J Gastroenterol 87:1005–1008
Chari ST, Mohan V, Pitchumoni CS, Viswanathan M, Madanagopalan N, Lowenfels AB (1994) Risk of pancreatic carcinoma in tropical calcifying pancreatitis: an epidemiologic study. Pancreas 9:62–66
Diener MK, Rahbari NN, Fischer L, Antes G, Buchler MW, Seiler CM (2008) Duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for surgical treatment of chronic pancreatitis: a systematic review and meta-analysis. Ann Surg 247:950–961
Evans JD, Wilson PG, Carver C, Bramhall SR, Buckels JA, Mayer AD, McMaster P, Neoptolemos JP (1997) Outcome of surgery for chronic pancreatitis. Br J Surg 84:624–629
Friess H, Beger HG, Sulkowki U, Beckers H, Hofbauer B, Dennlerp HJ, Buchler MW (1995) Randomized controlled multicenter study of the prevention of complications by octreodie in patients undergoing surgery for chronic pancreatitis. Br J Surg 82:1270–1273
Nealon WH, Thompson JC (1993) Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression. A longitudinal prospective analysis of the modified puestow procedure. Ann Surg 217:458–468
Schnelldorfer T, Adams DB, Warshaw AL, Lillemoe KD, Sarr MG (2008) Forgotten pioneers of pancreatic surgery: beyond the favorite few. Ann Surg 247:191–202
Shrikhande SV, Friess H, Buechler MW (2000) Pathogenesis of pain in chronic pancreatitis. In: Wig JD (ed) The pancreas. Azad Publishers, Chandigarh
Shrikhande SV, Friess H, diMola F, Tempia A, Conejo Garcia J, Zimmermann A, Buechler MW (2001) NK-1 receptor gene expression is related to pain in chronic pancreatitis. Pain 91:209–217
Shrikhande SV, Friess H, Zimmermann A, Ramesh H, Buechler MW (2002) Comparison of alcoholic, idiopathic and tropical chronic pancreatitis on a molecular basis. In: Buechler MW, Helmut F, Waldemar U, Peter M (eds) Chronic pancreatitis: novel concepts in biology and therapy. Blackwell Publishing, Berlin, pp 66–72
Shrikhande SV, Martignoni ME, Shrikhande M, Friess H, Ramesh H, Buechler MW (2003) Inflammatory cell changes in alcoholic, idiopathic and tropical chronic pancreatitis. Br J Surg 90:1565–1572
Shrikhande SV, Friess H, Nande AG, Adyanthaya K, Shrikhande VN, Buechler MW (2004) Novel technique of pancreatojejunal reconstruction following spontaneous closure of previous lateral pancreatojejunostomy. Int Surg 89:46–50
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Fingerhut, A., Shrikhande, S.V., Shukla, P.J. (2013). Commentary. In: Mantke, R., Lippert, H., Büchler, M., Sarr, M. (eds) International Practices in Pancreatic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74506-8_13
Download citation
DOI: https://doi.org/10.1007/978-3-540-74506-8_13
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-74505-1
Online ISBN: 978-3-540-74506-8
eBook Packages: MedicineMedicine (R0)