This paper discusses the long-term results after surgical treatment of
necrotizing pancreatitis. Thirty-one patients were examined 3 years a
fter the operation. The development of diabetes was the main problem i
n 29 % of the patients and depended on the amount of pancreatic tissue
resected (never after necrosectomy, in 47 % after pancreatic resectio
n; P = 0.005, Fischer's exact test). Of the patients, 77 % were in goo
d general condition and 68 % were able to work. In 50 % of the patient
s abdominal wall function was impaired but most of them could cope wit
h this insufficiency. Of the patients with alcohol-induced pancreatiti
s, 75 % were abstinent. Considering the severity of the disease, longt
erm results after surgical treatment of necrotizing pancreatitis are s
atisfactory.