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Furthermore complications related to adjacent organs, endoscopically not permanently controlled pancreatic pseudocysts, ductal pathology, conservatively intractable internal pancreatic fistula or suspected malignancy also require surgery. The ideal surgical approach should address all these problems \u2014 tailoring the various therapeutic options to meet the individual patient's needs. In our opinion, the ideal procedure for chronic pancreatitis is the duodenum preserving pancreatic head resection in terms of an extended drainage procedure, were the extent of the pancreatic head resection may be tailored to the morphology of the pancreatic gland, thus allowing a tailored concept (to resect and\/or drain as much as necessary but as little as possible). Looking at the present data, there is no need to transsect the pancreatic axis above the portal vein. If portal vein thrombosis is present, an extended drainage procedure is mandatory without transsection of the neck of the pancreas.<\/jats:p>","DOI":"10.1177\/145749690509400212","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T11:29:05Z","timestamp":1500377345000},"page":"154-160","source":"Crossref","is-referenced-by-count":5,"title":["Customized Surgical Strategy in Chronic Pancreatitis"],"prefix":"10.1177","volume":"94","author":[{"given":"O.","family":"Mann","sequence":"first","affiliation":[{"name":"Department of General-, Visceral-Thoracic Surgery, University Medical Center Hospital Eppendorf, Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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