Escallon A, Aldrete J S
South Med J. 1986 Aug;79(8):936-40. doi: 10.1097/00007611-198608000-00005.
To assess the relief of pain provided by a side-to-side lateral pancreaticojejunostomy (LPJ), we analyzed 19 patients with chronic pancreatitis operated on from 1973 to 1983. Fourteen patients were chronic alcoholics; abdominal pain was the indication for the operation in most patients; one patient died postoperatively. The pain was relieved in all 18 survivors, from 12 to 72 months in 15; in three the pain has recurred, suggesting that LPJ is effective in ablating the pain in patients with chronic pancreatitis, provided the pancreatic duct measures more than 6 mm in diameter, the length of the LPJ is at least 6 cm, and patients abstain from alcohol ingestion. CT adequately assesses pancreatic duct dilatation. One fourth of the patients also required choledochoduodenostomy to relieve biliary obstruction caused by the chronic pancreatitis.
为评估侧侧胰管空肠吻合术（LPJ）缓解疼痛的效果，我们分析了1973年至1983年接受手术治疗的19例慢性胰腺炎患者。14例患者为慢性酒精性胰腺炎；大多数患者的手术指征为腹痛；1例患者术后死亡。18例幸存者的疼痛均得到缓解，其中15例缓解时间为12至72个月；3例疼痛复发，提示LPJ对慢性胰腺炎患者的疼痛消融有效，前提是胰管直径大于6mm，LPJ长度至少为6cm，且患者戒酒。CT能充分评估胰管扩张情况。四分之一的患者还需要行胆总管十二指肠吻合术以缓解慢性胰腺炎引起的胆道梗阻。
