Pancreaticoduodenectomy (Whipple Resection) in the Treatment of Chronic Pancreatitis: Indications, Techniques, and Results
Pancreaticoduodenectomy is excellent for the relief of pain in the patient whose lifestyle provides the probability of a stable, ongoing life. Furthermore, in the author’s experience, if carcinoma of the head of the pancreas is suspected at operation, pancreaticoduodenectomy is the procedure of choice. The individual surgeon, however, must assess his own experience, for a low operation mortality risk is essential. A continuing alcoholic is not a good candidate for pancreaticoduodenectomy in this disease. The same limitation exists for the narcotic addict, but in the author’s experience, narcotic addiction under these circumstances is largely a problem of bygone days. Most patients who do not stop drinking or who do not discontinue narcotics prior to operation are probably not acceptable candidates for pancreaticoduodenectomy.
KeywordsCatheter Sludge Polyethylene Pancreatitis Proline
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