Partington-rochelle : When to drain the pancreatic duct and why
(1996) In Digestive Surgery 13(2). p.109-112- Abstract
Chronic pancreatitis should be managed medically until a surgical correctable complication develops. The ‘ideal’ operation should have a low mortality and morbidity, be easy to perform, provide pain relief, rectify the structural abnormalities such as bile duct obstruction, and not augment exocrine and endocrine insufficiency. Direct measurements made at the time of laparotomy have shown that at least some patients with chronic pancreatitis and dilated ducts or pseudocysts had raised intraductal pressure. Drainage operations for chronic pancreatitis are based on the concept that obstruction of the main pancreatic duct(s) leads to an increased intraductal and intraparenchymal pressure, and that this, in turn, gives rise to pain. For a... (More)
Chronic pancreatitis should be managed medically until a surgical correctable complication develops. The ‘ideal’ operation should have a low mortality and morbidity, be easy to perform, provide pain relief, rectify the structural abnormalities such as bile duct obstruction, and not augment exocrine and endocrine insufficiency. Direct measurements made at the time of laparotomy have shown that at least some patients with chronic pancreatitis and dilated ducts or pseudocysts had raised intraductal pressure. Drainage operations for chronic pancreatitis are based on the concept that obstruction of the main pancreatic duct(s) leads to an increased intraductal and intraparenchymal pressure, and that this, in turn, gives rise to pain. For a long time a longitudinal pancreaticojejunostomy according to Partington and Rochelle, i.e. the duct of Wirsung opened from tail of pancreas to the duodenum and anastomosed to the side of the jejunum, has been one of the techniques that has been used most often. There is little evidence that the procedure delays the development of endocrine and exocrine insufficiency. This implies that this option should not be chosen early in the disease, but rather when pain control is out of hand after medical management.
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- author
- Andrén-Sandberg, Åke LU and Hafström, Anna LU
- publishing date
- 1996-01-01
- type
- Contribution to journal
- publication status
- published
- keywords
- Chronic pancreatitis, Pain, Pancreaticojejunostomy, Surgery
- in
- Digestive Surgery
- volume
- 13
- issue
- 2
- pages
- 4 pages
- publisher
- Karger
- external identifiers
-
- scopus:0029945806
- ISSN
- 0253-4886
- DOI
- 10.1159/000172416
- language
- English
- LU publication?
- no
- id
- 52eabc6b-e52a-4a00-9739-2804ddf5bb8b
- date added to LUP
- 2020-05-09 08:37:08
- date last changed
- 2022-02-01 06:08:05
@article{52eabc6b-e52a-4a00-9739-2804ddf5bb8b,
abstract = {{<p>Chronic pancreatitis should be managed medically until a surgical correctable complication develops. The ‘ideal’ operation should have a low mortality and morbidity, be easy to perform, provide pain relief, rectify the structural abnormalities such as bile duct obstruction, and not augment exocrine and endocrine insufficiency. Direct measurements made at the time of laparotomy have shown that at least some patients with chronic pancreatitis and dilated ducts or pseudocysts had raised intraductal pressure. Drainage operations for chronic pancreatitis are based on the concept that obstruction of the main pancreatic duct(s) leads to an increased intraductal and intraparenchymal pressure, and that this, in turn, gives rise to pain. For a long time a longitudinal pancreaticojejunostomy according to Partington and Rochelle, i.e. the duct of Wirsung opened from tail of pancreas to the duodenum and anastomosed to the side of the jejunum, has been one of the techniques that has been used most often. There is little evidence that the procedure delays the development of endocrine and exocrine insufficiency. This implies that this option should not be chosen early in the disease, but rather when pain control is out of hand after medical management.</p>}},
author = {{Andrén-Sandberg, Åke and Hafström, Anna}},
issn = {{0253-4886}},
keywords = {{Chronic pancreatitis; Pain; Pancreaticojejunostomy; Surgery}},
language = {{eng}},
month = {{01}},
number = {{2}},
pages = {{109--112}},
publisher = {{Karger}},
series = {{Digestive Surgery}},
title = {{Partington-rochelle : When to drain the pancreatic duct and why}},
url = {{http://dx.doi.org/10.1159/000172416}},
doi = {{10.1159/000172416}},
volume = {{13}},
year = {{1996}},
}