@entity1118 from @entity1689 remains a difficult clinical problem. We present the results of surgical attempts to control this @entity158 . For the past 3 years, all @entity1 with @entity1689 and @entity158 requiring high-dose narcotics or hospitalization for @entity158 control were evaluated by the following algorithm. Any anatomic pathology causing ductal dilatation was surgically addressed first (Puestow's procedure, @entity9007 , or sphincteroplasty). If there was no evidence of ductal dilatation, or if @entity158 recurred postoperatively, denervation procedures were performed (splenopancreatic flap, thorascopic sympathectomy, or resection). @entity158 recurrence was defined as the need for further hospitalization or reoperation. Data were analyzed by comparison of two proportions. Follow-up averaged 26 months. Thirty-seven @entity1 underwent 44 operations solely in an attempt to control @entity158 ; 62 per cent were male, and 70 per cent had chronic @entity8883 . Our results show that surgical management provides relief in 68 per cent of @entity1 , and no one procedure is clearly superior to others.

Surgical management of @entity1118 from XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1689 :: ('MESH:D050500', 'Disease') :: ['chronic pancreatitis'] @entity8883 :: ('MESH:D019512', 'Disease') :: ['alcoholic pancreatitis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity9007 :: ('MESH:D010192', 'Disease') :: ['pseudocyst drainage'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['Chronic pain']
@entity1689 :: (MESH:D050500,Disease) :: ['chronic pancreatitis']
