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Two- to 21-Year Follow-up

Richard A. Prinz, MD; Bruce H. Kaufman, MD; Frank A. Folk, MD; Herbert B. Greenlee, MD

Arch Surg. 1978;113(4):520-525.

Abstract
• Between 1954 and 1975, 80 pancreaticojejunostomies were performed on 77 patients for intractable pain of chronic pancreatitis. All patients had a history of chronic alcoholism. Drainage operations done primarily for pseudocysts were excluded. Operative procedures included seven caudal pancreaticojejunostomies, 42 longitudinal pancreaticojejunostomies with splenectomy and implantation of the pancreas into the jejunum, and 31 side-to-side pancreaticojejunostomies.

Eighty-one percent of the patients noted substantial improvement or complete resolution of their abdominal pain on follow-up that ranged up to 21 years. The operative mortality was 5%. Thirty-two patients died during the period of the follow-up. Continued alcohol abuse, carcinoma, and cardiovascular disease were the leading causes of mortality. Data from this review confirm the effectiveness of pancreaticojejunostomy in relieving the pain of chronic relapsing pancreatitis.

(Arch Surg 113:520-525, 1978)

Author Affiliations
From the Department of Surgery, Loyola University Stritch School of Medicine, Maywood, Ill, and the Veterans Administration Hospital, Hines, Ill.

Footnotes
Accepted for publication Dec 12, 1977.

Read before the 85th annual meeting of the Western Surgical Association, Las Vegas, Nov 16, 1977.

Reprint requests to Surgical Service, Veterans Administration Hospital, Hines, IL 60141 (Dr Prinz).

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