LONG-TERM RESULTS IN THE SURGICAL-TREATME NT OF CHRONIC-PANCREATITIS

We analized the long-term results after surgical treatment in 41 patie nts with chronic pancreatitis. Twenty one of them underwent resection: 19 pancreaticoduodenectomy (11 Whipple procedure and 8 Traverso Longm ire); total pancreatectomy (1) and near-total pancreatectomy (1). In t he remaining 20 patients a drainage procedure was carried out: Puestow -Duval (5); Partington (7); double derivation: pancreatic and biliar ( 5); triple derivation: pancreatic, biliar, gastric (2) and Nardi proce dure+quisteduodenostomy in one patient. The following were evaluated: persistent pain; chronic alcoholism; nutrition status; exocrine functi on (syntomatic steatorrea, use of pancreatic enzyme preparation and fe cal determination of glucide, protids and lipids) and endocrine functi on (glucose and insulin levels and glucose oral test). Surgery failed to relieve pain in 15,6% of the patients; failures were associated chr onic alcoholism (p < 0,05); 18 patients (44%) required oral pancreatic enzymes. There weren't significat differences between resection and d rainage procedures regarding the exocrine function. However, endocrine function was significantly worse (p < 0,05) after pancreaticoduodenec tomy than after drainages procedures. Among the late, the endocrine fu nction was better after Partington operation than after the Puestow-Du val.