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Commentary

  • P. C. BornmanEmail author
  • J. E. J. Krige
Chapter

Abstract

While most patients with uncomplicated chronic pancreatitis (CP) can be managed conservatively, operative treatment offers good results in carefully selected patients, especially those who have intractable pain and are at risk for opioid dependency. Operative intervention should only be undertaken when conservative measures including endoscopic interventions have been exhausted. In the alcohol-induced group, patients should be required to undergo a rehabilitation programme before operative intervention is undertaken.

Keywords

Chronic Pancreatitis Pancreatic Duct Main Pancreatic Duct Roux Limb Uncinate Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Anderson DK, Frey CF (2010) The evolution of the surgical treatment of chronic pancreatitis. Ann Surg 251:18–32CrossRefGoogle Scholar
  2. Bornman PC, Botha JF, Ramos JM, Smith MD et al (2010) Guidelines for the diagnosis and treatment of chronic pancreatitis. S Afr Med J 100(12):847–859Google Scholar
  3. Strate T, Taherpour Z, Bloechle C, Mann O et al (2005) Long term follow up of a randomized trial comparing the Beger and Frey procedures for patients suffering from chronic pancreatitis. Ann Surg 241:591–598PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Surgical Gastroenterology, Department of Surgery, Groote Schuur HospitalUniversity of Cape TownCape TownSouth Africa
  2. 2.E23 GIT ClinicGroote Schuur HospitalCape TownSouth Africa

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