The purpose of this exhibit is to present the practical aspects of the etiologic mechanisms and the surgical management of this disease.
Pancreatitis is a disease of multiple causes.
Repeated episodes of pancreatitis, edema, and necrosis lead to chronic pancreatitis.
Pancreatic ductal obstruction exists in most instances.
The majority of cases are associated with biliary tract disease and/or alcoholism.
In some patients no causative factor can be found.
Alcohol
The incidence of alcoholism in patients with pancreatitis is high. Alcohol stimulates pancreatic flow and at the same time causes pancreatic ductal obstruction.
Other Causes
Other causes of pancreatitis are as follows:
Trauma
Metabolic disturbances
Heredity
Toxic conditions
Vascular
Infection
Surgical Management Selection of Patients
Indications
Demonstrable biliary tract disease
Intractable pain
Duodenal loop changes with or without
obstruction
Questionable carcinoma
Progressive pancreatic insufficiency
Pancreatic calcinosis
Contraindications
Continuing alcoholism
Continuing drug addiction
Surgical procedures must be altered to meet the varied
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