Pylorus-preserving Kausch-Whipple resection: the successor of the classical Kausch-Whipple in chronic pancreatitis

Ann Ital Chir. 2000 Jan-Feb;71(1):57-64.

Abstract

Chronic pancreatitis can be a debilitating disease. Resection for complicated disease and in those patients with intractable pain is a major component of therapy. There are potentially important physiological advantages with the pylorus preserving Kausch-Whipple (P-KW) compared to the standard Kausch-Whipple (KW) resection but further prospective studies are required to show this unequivocally. The Beger's operation also represents a significant theoretical advance. Indeed it permits resection in a proportion in whom a PP-KW or KW would not be possible technically because of severe fibrosis around the intra-pancreatic portal venous system. Although we have adopted the Beger's operation on our unit, large comparative studies are required against the KW and PP-KW procedures to properly establish its value. The hidden malignancy is an important issue, which undermines the routine use of the Beger's operation.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Chronic Disease
  • Follow-Up Studies
  • Humans
  • Pancreaticoduodenectomy / methods*
  • Pancreatitis / surgery*
  • Pylorus / surgery*
  • Treatment Outcome