Abstract
Persistent, uncontrolled pain is the most common indication for surgery in chronic pancreatitis. In the presence of an inflammatory mass in the pancreatic head or in pancreatic head-related complications of chronic pancreatitis, resection procedures are inevitable. The Whipple procedure, originally introduced for malignat lesions of the periampullary region, is commonly employed, although it represents surgical over-treatment in a benign pancreatic disorder. In this article, we discuss our long experience with duodenum-preserving pancreatic head resection (Beger procedure) for chronic pancreatitis. Prospective, randomized controlled trials suggest that this organ- and function-preserving procedure should be the gold standard for the surgical treatment of pancreatic head-related complications of chronic pancreatitis.
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Received: July 3, 2000 / Accepted: August 8, 2000
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Ozawa, F., Friess, H., Kondo, Y. et al. Duodenum-preserving pancreatic head resection (DPPHR) in chronic pancreatitis: its rationale and results. J Hep Bil Pancr Surg 7, 456–465 (2000). https://doi.org/10.1007/s005340070015
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DOI: https://doi.org/10.1007/s005340070015