{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:08:12Z","timestamp":1793066892028,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,9,19]],"date-time":"2009-09-19T00:00:00Z","timestamp":1253318400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2010,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/purpose<\/jats:title><jats:p>We developed the Imaizumi modification of the Beger procedure, a duodenum\u2010preserving pancreatic head resection. The Imaizumi modification allows for removal of more of the subtotal pancreatic head than in the conventional Beger procedure, including the intrapancreatic bile duct, for chronic pancreatitis with common bile duct stenosis. A retrospective study was performed to evaluate the efficacy of the Imaizumi modification compared to a pylorus\u2010preserving pancreaticoduodenectomy (PPPD), based on the early and late postoperative results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A group of 14 patients who underwent the Beger procedure with the Imaizumi modification to treat chronic pancreatitis from November 1997 to December 2005 was investigated retrospectively. This group was compared to a group of 21 patients who underwent PPPD from November 1997 to December 2003. The median follow\u2010up period was 3.6 years (range 3.1\u20135.7 years) for the Imaizumi modification group and 4.0 years (range 3.0\u20138.3 years) for the PPPD group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A pancreatic fistula formed in 7% of the Imaizumi modification patients (PPPD 5%), pain relief was achieved in 92% (PPPD 94%), complete professional rehabilitation was achieved in 71% (PPPD 67%), insulin\u2010dependent diabetes mellitus was present in 43 versus 36% before the procedure (PPPD 62 versus 38% before the procedure), and body weight improved in 79% (PPPD 48%). No significant differences were found between the two groups for the early postoperative complications and the late postoperative outcome 3 years after the procedure. However, the Imaizumi modification group exhibited an encouraging tendency to have a lower rate of new\u2010onset exocrine and endocrine insufficiency than the PPPD group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our Imaizumi modification of the Beger procedure, including intrapancreatic bile duct resection, represents a useful alternative for the treatment of chronic pancreatitis with an inflammatory mass and bile duct stenosis in the pancreatic head.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00534-009-0183-6","type":"journal-article","created":{"date-parts":[[2009,9,18]],"date-time":"2009-09-18T11:30:59Z","timestamp":1253273459000},"page":"752-757","source":"Crossref","is-referenced-by-count":9,"title":["Appraisal of the Imaizumi modification of the Beger procedure: the TWMU experience"],"prefix":"10.1002","volume":"17","author":[{"given":"Takashi","family":"Hatori","sequence":"first","affiliation":[{"name":"Department of Surgery, Institute of Gastroenterology Tokyo Women's Medical University  8\u20101 Shinjuku\u2010ku Tokyo 162\u20108666 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihide","family":"Imaizumi","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine Tokai University  Boseidai Isehara Kanagawa 259\u20101193 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiko","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Surgery Hachioji Digestive Disease Hospital  177\u20103 Yorozu\u2010cho Hachioji Tokyo 192\u20100903 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Fukuda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Gastroenterology Tokyo Women's Medical University  8\u20101 Shinjuku\u2010ku Tokyo 162\u20108666 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamoru","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Hachioji Digestive Disease Hospital  177\u20103 Yorozu\u2010cho Hachioji Tokyo 192\u20100903 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fujio","family":"Hanyu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Gastroenterology Tokyo Women's Medical University  8\u20101 Shinjuku\u2010ku Tokyo 162\u20108666 Japan"},{"name":"Department of Surgery Hachioji Digestive Disease Hospital  177\u20103 Yorozu\u2010cho Hachioji Tokyo 192\u20100903 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masakazu","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Gastroenterology Tokyo Women's Medical University  8\u20101 Shinjuku\u2010ku Tokyo 162\u20108666 Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,9,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199405000-00006"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198109000-00009"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000089769"},{"key":"e_1_2_5_5_1","first-page":"1071","article-title":"Postoperative follow\u2010up in patients with partial Whipple duodenopancreatectomy for chronic pancreatitis","volume":"35","author":"Forssmann K","year":"1997","journal-title":"Z Gastroenterol"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199812000-00008"},{"key":"e_1_2_5_7_1","first-page":"303","article-title":"Erfahrung mit einer das Duodenum erhaltenden Pankreaskopfresektion bei chronischer Pankreatitis","volume":"51","author":"Beger HG","year":"1980","journal-title":"Chirurg."},{"key":"e_1_2_5_8_1","first-page":"467","article-title":"Duodenum\u2010preserving resection of the head of the pancreas in patients with severe chronic pancreatitis","volume":"97","author":"Beger HG","year":"1985","journal-title":"Surgery."},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198903000-00004"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199910000-00007"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02348286"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006676-198711000-00014"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.12.1353"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80111-1"},{"key":"e_1_2_5_16_1","first-page":"350","article-title":"Pancreatic function and quality of life after resection of the head of the pancreas in chronic pancreatitis. 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