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Surgery for Chronic Pancreatitis

  • Chapter
Pancreatitis and Its Complications

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

A lack of consensus exists regarding the best treatment for chronic pancreatitis (CP). This condition usually presents with pain and, as little can be done to change the natural history of the disease process, our efforts are directed at improving the quality of life for patients (1). The most common associated etiological factor is alcohol addiction or abuse. The personality type of many of these patients leads commonly to substance abuse, and this significantly impacts on the success of treatment. A nihilistic approach to CP based on evidence suggesting the process burns out in approximately 10 years is difficult to accept when the suffering of these patients is witnessed (2). Surgeons need to guard against the assumption of success without significant involvement and commitment by the patient. There is proof that pollutants or xenobiotics play a role in the pathophysiology of alcoholic CP (3), and these xenobiotics are often associated with occupations commonly filled by the economically disadvantaged, making rehabilitation more difficult.

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Authors and Affiliations

  1. Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa

    Martin D. Smith MD & Elias Degiannis MD

  2. Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama, Birmingham, AL

    Selwyn M. Vickers MD

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  1. Martin D. Smith MD
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  2. Elias Degiannis MD
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  3. Selwyn M. Vickers MD
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Editors and Affiliations

  1. Division of Gastroenterology, Hepatology, and Nutrition, University of Florida College of Medicine, Gainesville, Fl

    Chris E. Forsmark MD

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© 2005 Humana Press Inc., Totowa, NJ

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Smith, M.D., Degiannis, E., Vickers, S.M. (2005). Surgery for Chronic Pancreatitis. In: Forsmark, C.E. (eds) Pancreatitis and Its Complications. Clinical Gastroenterology. Humana Press. https://doi.org/10.1385/1-59259-815-3:273

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  • DOI: https://doi.org/10.1385/1-59259-815-3:273

  • Publisher Name: Humana Press

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