Long term results of lateral pancreaticojejunostomy for chronic XXXX .

@entity1 @entity788 @entity167 @entity8883 @entity260 @entity158 @entity204
OBJECTIVE: To assess our long term results of lateral pancreaticojejunostomy in @entity1 with @entity8883 . DESIGN: Retrospective study. SETTING: University hospital, France. SUBJECTS: 57 @entity1 (48 @entity1 , 9 @entity1 , mean (SD) age 46 (7) years who required surgical treatment of chronic @entity8883 between January 1977 and October 1995. INTERVENTIONS: Lateral pancreaticojejunostomy with or without another procedure. Outcome classified as excellent, good, fair, or poor. MAIN OUTCOME MEASURES: Postoperative morbidity and mortality; relief of @entity158 ; reduction in use of analgesics and exocrine supplements; effect on exocrine and endocrine insufficiency; and return to paid work. RESULTS: There were no postoperative @entity204 and no pancreatic fistulae, but there were 17 other @entity260 (30%). Median follow up was 65 months (range 8-206), during which 12 @entity1 died (21%). Result was judged excellent in 16 (28%), good in 27 (47%), fair in 5 (9%), and poor in 9 (16%). @entity158 control was significantly improved, analgesic usage decreased, less pancreatic enzyme supplementation was required, and 25 @entity1 returned to paid work (p = 0.0001 in each case). Exocrine and endocrine function remained stable. The results were better if the @entity1 gave up misusing @entity167 (p = 0.03) and if the operation was done within 4 years of the development of @entity788 (p = 0.03). CONCLUSIONS: Lateral pancreaticojejunostomy is a safe procedure that can improve functional outcome in @entity1 with chronic @entity8883 , and does not worsen pancreatic function.
