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- W4385563224 abstract "Potential surgical interventions in chronic pancreatitis need to occur months after the initial acute pancreatitis event. To facilitate preventive and therapeutic interventions in time requires a multidisciplinary team (gastroenterologists, advanced endoscopists, radiologists, pancreatic surgeons, pain, and nutritional specialists). Failure of conservative pain management should lead to discussing endoscopic and surgical options as equivalent options for first-line interventional treatment within the multidisciplinary team and the patient. The goal of surgical intervention in time can only be reached if the old paradigm “surgery is the last option” is abandoned. The basis of surgical interventions needs to be based on the following goals: effective long-term pain management and local complications (restore quality of life), preservation of maximum endocrine and exocrine function, safety (low morbidity and mortality), and long-term sufficient drainage of the pancreatic duct. International guidelines recommend surgical strategies based on a duodenum-preserving pancreatic head resection. The available surgical options and their indications are summarized within this chapter." @default.
- W4385563224 created "2023-08-05" @default.
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- W4385563224 date "2023-08-04" @default.
- W4385563224 modified "2023-09-27" @default.
- W4385563224 title "Major Pancreatic Resection for Chronic Pancreatitis" @default.
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- W4385563224 doi "https://doi.org/10.1002/9781119876007.ch63" @default.
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