BILATERAL SPLANCHNICECTOMY AND LUMBODORSAL SYMPATHECTOMY FOR CHRONIC RELAPSING PANCREATITIS

Relapsing acute and chronic pancreatitis.

Twenty five children with non-traumatic relapsing acute or chronic pancreatitis who had been followed up from five months to seven years were studied. Seven had congenital anomalies, including two with choledochal cysts and four with pancreas divisum. Alcohol related disease was suspected in one child. The importance of diabetes in two patients and a positive family history in a further three i...

Effectiveness of Single-Port Thoracoscopic Splanchnicectomy in Controlling Pain in Patients with Chronic Pancreatitis

Introduction: Chronic pancreatitis is defined as a persistent pancreatic inflammatory disease. In chronic pancreatitis, recurrent episodes of inflammation lead to the replacement of pancreatic parenchyma with fibrotic connective tissue. Chronic pancreatitis pain, which may initially mimic acute pancreatitis, is severe, frequent, and continual and has a major impact on the quality of life and so...

Bilateral pancreaticopleural fistula in an infant: a rare complication of chronic relapsing pancreatitis

An infantile case of chronic relapsing pancreatitis complicated by bilateral pancreaticopleural fistula and intractable pleural effusion is reported. Surgical drainage of the retroperitoneal pseudocyst proved effective, and the patient remains symptom free 3 years after surgery. Recognition of this entity and early surgical intervention may prevent long-term morbidity of chronic pancreatitis in...

Autoimmune Chronic Pancreatitis Relapsing Despite the Maintenance Dose of Steroid

Autoimmune chronic pancreatitis is a disease characterized by diffuse swelling of the pancreas, irregular narrowing of the main pancreatic duct and elevated levels of serum IgG, and lymphoplasmacytic infiltration is observed on histologic examination. Steroid therapy can dramatically reverse the clinical symptoms and the histologic and radiologic findings. It is known that recurrence is very ra...

Aetiologies of recurrent acute pancreatitis: acute or chronic relapsing disease?