Results of 100 duodenum-preserving pancreatic head resections for chronic pancreatitis: comparison of FREY- and BEGER procedure

There is controversial discussion on the optimal type of surgery in patients with chronic pancreatitis (CP). Duodenum-preserving head resections (DPPHR) in the variations by FREY or BEGER may provide similar long-term outcomes but data are rare. We analyzed perioperative outcomes after 100 DPPHR and long-term results in 65 of those patients. Methods: Since 1994 100 DPPHR (55 FREY, 45 BEGER) were performed for CP. The indications to perform a FREY- or a BEGER-procedure were dependent on the presence of local organ complications like biliary or duodenal stenosis. Indications for surgery were recurrent episodes of…