When to Change from Conservative to Surgical Management in Alcoholic Chronic and Tropical Chronic Pancreatitis

Shailesh V. Shrikhande, Savio G. Barreto

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This chapter uses the evidence from the literature to present at the outset that, although there exist different proposed etiological features for chronic pancreatitis (CP) such as alcohol and tropical pancreatitis, the individual pathogenetic mechanisms in different forms of CP eventually converge to a single common pathway-the "surgical stage" of CP. Thus, the eventual clinical effects of pancreatic damage in CP manifest similarly and hence the indications for management as well as changes in management strategies remain the same irrespective of the proposed etiology. This chapter provides the specific clinical syndromes that evolve, elucidating how and when treatment decisions to move toward surgery should be made.

Original languageEnglish
Title of host publicationPancreatic Cancer, Cystic Neoplasms and Endocrine Tumors
Subtitle of host publicationDiagnosis and Management
EditorsHans G. Beger, Akimasa Nakao, John P. Neoptolemos, Shu You Peng, Michael G. Sarr
Place of PublicationUnited Kingdom
Number of pages8
ISBN (Electronic)9781118307816
ISBN (Print)9780470673188
Publication statusPublished - 7 Apr 2015
Externally publishedYes


  • Chronic pancreatitis
  • Common bile duct stenosis
  • Signs of malignancy
  • Tropical chronic pancreatitis
  • Tumorous lesion in pancreatic head

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