From the *Department of Surgery, Hammersmith Hospital, London, United Kingdom, and the †Department of Biochemistry and
Molecular Biology, Royal Free and University College Medical School, London, United Kingdom
Distal pancreatectomy for chronic pancreatitis from any etiology
can be performed with low mortality and a good outcome
in terms of pain relief and return to work in approximately
60% of patients. Little effect is seen on exocrine function of
the pancreas, but there is a diabetic risk of 46% over 2 years.
Pseudocyst disease is associated with the best outcome, but
other manifestations of this disease, including strictures, calcification,
and limited concomitant disease in the head of the
pancreas, can still be associated with a good outcome.
ANNALS OF SURGERY Vol. 236, No. 5, 612–618
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