Bolman R M
Ann Surg. 1981 Feb;193(2):125-31. doi: 10.1097/00000658-198102000-00001.
Chronic relapsing pancreatitis is a syndrome usually associated with chronic alcohol abuse, and is characterized by pain in the upper abdomen and back, weight loss, and disturbances in function of the endocrine and exocrine pancreas. A surgical attack on this disorder can be traced to the turn of the century, when experimental work suggested the feasibility of operations of the pancreas. In 1911 Link performed pancreatostomy for this disease and achieved an excellent long-term result. Later, partial or total pancreatectomy was introduced in the management of this condition. With pathologic evidence of pancreatic duct dilatation, attempts at retrograde drainage of the duct into the gastrointestinal tract were introduced in the 1950s, with encouraging results. The recent advent of diagnostic modalities capable of more precise definition of ductal anatomy allows more discriminate application of the two major surgical approaches of resection and internal drainage. In this review, the literature concerning this interesting subject is surveyed and the favored diagnostic and surgical methods are assessed.
慢性复发性胰腺炎是一种通常与长期酗酒相关的综合征，其特征为上腹部和背部疼痛、体重减轻以及胰腺内分泌和外分泌功能紊乱。针对这种疾病的外科治疗可追溯到世纪之交，当时的实验工作表明了胰腺手术的可行性。1911年，林克为这种疾病实施了胰管造口术，并取得了出色的长期效果。后来，部分或全胰切除术被引入到这种疾病的治疗中。随着胰腺导管扩张的病理证据出现，20世纪50年代开始尝试将导管逆行引流至胃肠道，结果令人鼓舞。近年来，能够更精确界定导管解剖结构的诊断方法的出现，使得切除和内引流这两种主要外科手术方法的应用更加精准。在这篇综述中，我们对有关这个有趣主题的文献进行了调查，并对常用的诊断和手术方法进行了评估。
