Chronische Pankreatitis. Aktuelle Gesichtspunkte zum Wert verschiedener Rekonstruktionsverfahren.

After partial resection of the pancreas, particularly in the cephalic part, reconstructive procedures regarding drainage for bile-, gastric- and pancreatic juice are necessary. How far a non-derivage of the pancreatic rest is allowed, remains unclear. We prefer after cephalic resection of the pancreas the pancreato-gastrostomy on 46 patients. The assessment of pancreatic-intestinal anastomoses is controlled by histological examination. We have evaluated several long-term results and come to the conclusion, that there is no big difference between various techniques of operation in chronic pancreatitis. The consequences of chronic pancreatitis cannot be cured.