Abstract. There are few reports on operations in patients with nonalcoholic pancreatitis. Between 1985 and 1995 we operated on 58 such patients, 38 of whom were male and 20 female with a mean age of 35 years (range 5–72 years). The indications for operation were pain (
n = 49), biliary obstruction ( n = 12), duodenal obstruction ( n = 10), portal hypertension ( n = 11), cysts ( n = 14), and pancreatic ascites ( n = 3). Thirty-four patients with a dilated pancreatic duct underwent pancreaticojejunostomy; cysts were drained internally in eight, and biliary and duodenal obstruction was bypassed. Ten patients also underwent surgery for portal hypertension. Four (7%) patients died during the postoperative period. Of the remaining 54 patients, 48 (89%) were followed up for a median period of 63 months (range 6 months to 10 years). Six died: four of pancreatic cancer, one of cerebrovascular accident, and one of malnutrition. Of the 34 surviving patients operated for pain, 30 (88%) felt better, of whom 24 (71%) had complete relief of pain; 14 (41%) recorded a weight gain. Pancreatic decompression results in immediate and lasting pain relief in most patients with nonalcoholic chronic pancreatitis.
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Sharma, A., Pande, G., Sahni, P. et al. Surgery for Nonalcoholic Chronic Pancreatitis. World J. Surg. 22, 236–240 (1998). https://doi.org/10.1007/s002689900376
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DOI: https://doi.org/10.1007/s002689900376