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ROBERT E. LEMPKE, MD; ROBERT D. KING, MD; GEORGE C. KAISER, MD

AMA Arch Surg. 1963;87(1):90-99.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Operations upon the biliary tract and sphincter of Oddi have not proved to be effective in the treatment of chronic pancreatitis not associated with gallstones. Howard and Jordan³ reported 69% recurrence in 16 such patients within five years of cholecystectomy and sphincterotomy. We have observed failure of sphincterotomy alone to protect against progression of the disease in 39% of 18 similar patients within one year of the operation. A characteristic common to most of the patients in this group is a grossly distorted main pancreatic duct with multiple areas of dilatation and stenosis. Without entering into the controversy concerning the etiologic implications of this observation, it is readily apparent that a procedure designed to relieve obstruction at one end or the other of the pancreatic duct will not suffice to drain adequately the entire duct in this situation. For this reason the procedure of lateral drainage of almost the . . . [Full Text PDF of this Article]

Author Affiliations
INDIANAPOLIS

From the Surgical Service, Veterans Administration Hospital, and the Department of Surgery, Indiana University School of Medicine.

Footnotes
Presented at the 20th Annual Meeting of the Central Surgical Association, Chicago, Feb 21-23, 1963.

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