This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (39)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Surgical Significance

Carlos Grodsinsky, MD; Bernard M. Schuman, MD; Melvin A. Block, MD

Arch Surg. 1977;112(4):444-449.

Abstract
• Of 22 patients treated surgically for intractable pain from chronic alcoholic pancreatitis, eight did not show notable dilation of the main pancreatic duct by endoscopic retrograde cholangiopancreatography (ERCP), operative pancreatography, and/or operative and microscopical studies of the pancreas after subtotal pancreatectomy. In all patients, far advanced parenchymal pancreatitis was evident at operation and by microscopical study of the removed portion of the pancreas. These findings indicate that the basic problem in a considerable number of patients with symptomatic alcoholic chronic pancreatitis is not related primarily to obstruction with dilation of the major pancreatic duct, but to intrinsic changes in the parenchymal pancreas. The preoperative use of ERCP and individualization of operative procedures with a preference for subtotal or partial pancreatectomy for symptomatic chronic alcoholic pancreatitis are supported.

(Arch Surg 112:444-449, 1977)

Author Affiliations
From the Department of Surgery (Drs Grodsinsky and Block) and the Division of Gastroenterology (Dr Schuman), Henry Ford Hospital, Detroit.

Footnotes
Accepted for publication Dec 8, 1976.

Read before the 84th annual meeting of the Western Surgical Association, Coronado, Calif, Nov 16, 1976.

Reprint requests to Department of Surgery, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202 (Dr Grodsinsky).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Wall Stent-Enhanced Lateral Pancreaticojejunostomy for Small-Duct Pancreatitis
Madura et al.
Arch Surg 2003;138:644-650.
ABSTRACT | FULL TEXT  

Neurological Damage and Duodenopancreatic Reflux in the Pathogenesis of Alcoholic Pancreatitis
McCutcheon
Arch Surg 2000;135:278-285.
ABSTRACT | FULL TEXT  

Ethanol, the Liver, and the Gastrointestinal Tract
GEOKAS et al.
ANN INTERN MED 1981;95:198-211.
ABSTRACT  

Pancreaticojejunostomy for Chronic Pancreatitis: Two- to 21-Year Follow-up
Prinz et al.
Arch Surg 1978;113:520-525.
ABSTRACT