The pancreas is carried far to excise and treat the chronic pancreatitic _'s treatment

The pancreas is carried far to excise and treat the chronic pancreatitic _'s treatment
Midsection obstruct, cause isolatedly because of conduit as pancreatitis, the intersection of pathological change and the intersection of limitation and (pancreatitis block,) while carrying the pancreas far ,It is still very good treatment means to carry the pancreas and excise far. The key lies in the choice of the case, if pathological change has already infringed the proximal pancreas, will give a great discount in curative effect of carrying the pancreas and excising the skill far.According to " other scientific literature " in May, chronic pancreatitic patient after blocking as to the great majority, pancreas carry, can excise skill safe and effective relieving pain symptom far.
Lie in Michael G of the hospital of Europe of plum of Rochester of Minnesota state. The intersection of Sarr and Dr. and their colleague, chronic pancreatitic prognosis of patient carry on assessment block, the intersection of surgery and therapeutic 40 indirectly to 1976 to 1997, the standard for selection of the case includes: The isolated pancreas conduit is narrow or stops up, and pathological change is limited to the pancreas is carried far. 80% of the patients have accepted average 6. 7 followed up a case by regular visits to for a long time.
Except a patient, have, suffer from abdominal pain symptom in front of the other skill, half the number patient have acute the intersection of pancreatitis and history of recuring. Among them 38 patients have accepted that carry the pancreas and excise the skill far, postoperative mortality is zero, but postoperative 15% of the patients have serious complications.
In following up a case by regular visits to for a long time, 81% of the patients suffer from abdominal pain symptom totally disappears or lightens notably, so, most of them have resumed normal life and work, though about half the persons among them have slight pancreas complete functions.
Dr. Sarr tells Reuter medical news: In 70 and the eighties, generally adopt and carry the pancreas and excise the skill and treat chronic pancreatitis far, thought, the more the pancreas excised, it is the better to lighten the result of pain at that time. But practice proves its curative effect is unsatisfactory. So, by the middle period of the eighties, treating transfers to the near end of pancreas especially, the pancreas conduit excises the skill to begin to be popular at the same time.
However, Dr. Sarr points out, as pancreatitis causes because of the obstructing isolatedly of the conduit midsection at the same time, and pathological change limitation when being carried the pancreas far ' Namely pancreatitis) after blocking ,It is still very good treatment means to carry the pancreas and excise far. The key lies in the choice of the case, if pathological change has already infringed the proximal pancreas, will give a great discount in curative effect of carrying the pancreas and excising the skill far.
Finally, Dr. Sarr emphasizes: Still there is a dispute about the problem of how to choose the case at present. After it because block chronic morbidity of pancreatitis getting lower relatively,is there large centres and training medical organization medical to be might collected sufficently to case, and carry on reliable clinical research. He points out: "If a small one is not the report of section hospital, if the pancreas excised the skill after carrying more than 50 obstructive type chronic pancreatitic cases far within one year, among them there is a false problem. "
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