182. Eine neue Methode in der chirurgischen Behandlung der chronischen Pankreatitis: Die transduodenale Pankreaticoplastic

Rumpf, K. D.

doi:10.1007/bf01823356

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Surgical procedures: drainage • A combination of the Partington-Rochelle-type longitudinal pancreaticojejunostomy and transduodenal sphincteroplasty has been advocated to drain the main PD as well as to address prepapillary obstruction, but has not gained widespread acceptance, probably because of the advance in therapeutic endoscopy [54,55]. • The Frey procedure is a combination of the Partington-Rochelle-type longitudinal pancreaticojejunostomy and a local excision of the pancreatic head.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Pancreatic duct strictures

Ahmad

Martin

2000

Curr Treat Options Gastro

View full text Add to dashboard Cite

The treatment of pancreatic duct strictures is based on an accurate assessment of the etiology of the disease, and then the degree of symptomatology. Our outline for therapy is as follows: Exclude a diagnosis of malignancy by using radiologic, endoscopic, histologic, and molecular biologic modalities. Once a benign stricture has been demonstrated, we favor a trial of endoscopic dilation and stent placement For the unresectable pancreatic neoplasm, in which an obstructive etiology for pain is suspected, a trial of endoscopic dilation and stent placement also should be considered. In benign pancreatic duct strictures complicated by biliary obstruction, and where the most durable treatment modality is sought, surgical intervention merits earlier consideration. Pancreatic duct stent placement should seldom be considered definitive therapy, and the risk of stent-induced duct injury must be weighed against potential therapeutic benefit.

show abstract

Section: Surgical Proceduresmentioning

confidence: 99%

Pancreatic duct strictures

Ahmad

Martin

2000

Curr Treat Options Gastro

View full text Add to dashboard Cite

show abstract

“…Dabei wurde die prä papillä re Verlegung des proximalen Pankreasgangs durch Konkremente oder eine Striktur behoben und gleichzeitig eine ausreichende Drainage des ü brigen Pankreasgangsystems gewä hrleistet [55]. Das Verfahren der transduodenalen Pancreaticoplastie zur chirurgischen Therapie der CP fand wohl bedingt durch die rasante Entwicklung der interventionellen Endoskopie mit der Mö glichkeit zur endoskopischen Sphincterotomie [50] keine weite Verbreitung.…”

Section: Entwicklung Der Drainageoperationunclassified

Die Drainageoperation als Therapieprinzip der chirurgischen organerhaltenden Behandlung der chronischen Pankreatitis

Izbicki

Bloechle

1997

Chirurg

View full text Add to dashboard Cite

Intraductal and intraparenchymal hypertension represent the rationale for surgical drainage procedures in the treatment of chronic pancreatitis. "Simple" drainage procedures such as longitudinal pancreaticojejunostomy according to Partington-Rochelle have to be distinguished from "extended" drainage operations, e.g. the combination of longitudinal pancreaticojejunostomy with limited local excision of the pancreatic head. This "extended" drainage procedure according to Frey is just as effective as resective procedures in terms of persistent pain relief and definitive management of pancreatitis-associated complications of adjacent organs, i.e. distal common bile duct and duodenal stenosis. This operation also addresses an inflammatory mass in the pancreatic head. In contrast to "simple" drainage procedures the Frey operation allows reliable exclusion of pancreatic carcinoma. With low perioperative morbidity and zero mortality the Frey procedure significantly improves quality of life and leads to social and occupational rehabilitation.

show abstract

“…Sie haben in den letzten Jahren weitgehend die chirurgische Diskussion zu diesem Thema bestimmt [3,8,9,10]. Diese Krankheit war ffir die Chirurgie stets eine besondere Herausforderung.…”

unclassified

60. Chronische Pankreatitis ? Chirurgische Therapie durch Drainageverfahren

Rumpf

1987

Langenbecks Arch Chiv

Self Cite

View full text Add to dashboard Cite

The development of drainage techniques in surgery of chronic pancreatitis are reported, those from short to the now used long-distance anastomoses. To remove incarcerated stones of the prepapillary region the author proposes to perform additional transduodenal papilla-sphincterotomy into the duct of wirsung. Good late results of 76 in this manner operated patients up to 8 years later are reported as evaluated together with R. Pichlmayr/H. Bunzendahl, Hannover. This non-resecting procedure seems to have a lower mortality rate than duodenopancreatectomy because of Zero-mortality in the last 45 operated cases.

show abstract

182. Eine neue Methode in der chirurgischen Behandlung der chronischen Pankreatitis: Die transduodenale Pankreaticoplastic

Cited by 3 publications

References 0 publications

Pancreatic duct strictures

Pancreatic duct strictures

Die Drainageoperation als Therapieprinzip der chirurgischen organerhaltenden Behandlung der chronischen Pankreatitis

60. Chronische Pankreatitis ? Chirurgische Therapie durch Drainageverfahren

Contact Info

Product

Resources

About