Surgical treatment for chronic pancreatitis: A single‐center retrospective study in Japan
Background/Purpose To determine the short‐ and long‐term results of surgical treatments for chronic pancreatitis (CP) at a high‐volume center in Japan. Methods The records of 151 consecutive patients undergoing surgery for CP were retrospectively reviewed. Selection of surgical procedures used had b...
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Published in | Journal of hepato-biliary-pancreatic sciences Vol. 27; no. 9; pp. 632 - 639 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Tokyo
Wiley Subscription Services, Inc
01.09.2020
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Subjects | |
Online Access | Get full text |
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Summary: | Background/Purpose
To determine the short‐ and long‐term results of surgical treatments for chronic pancreatitis (CP) at a high‐volume center in Japan.
Methods
The records of 151 consecutive patients undergoing surgery for CP were retrospectively reviewed. Selection of surgical procedures used had been according to the Japanese Clinical Practice Guidelines for CP 2015. Long‐term (≥1 year) follow‐up was performed in 100 patients (median of 37 months).
Results
Surgical drainage procedures were performed in 107 patients (Frey operation in 81, longitudinal pancreaticojejunostomy in 26), pancreatic resection in 37 (subtotal stomach‐preserving pancreaticoduodenectomy in 11, distal pancreatectomy in 26), and other procedures in six. The rates of postoperative mortality and morbidity were 1% and 26%, respectively. The rates of complete and partial pain relief were 62% and 37%. The frequency of occurrence of severe morbidity was significantly higher after pancreatic resection than in patients receiving drainage procedures (13% vs 2%, P = .019). The rate of new‐onset diabetes was also significantly higher after resection than drainage (60% vs 25%, P = .017).
Conclusions
Surgical treatment for painful chronic pancreatitis can be safe and effective. An optimal procedure should guarantee pain relief and preserve a maximum of pancreatic function.
Highlight
Matsumoto and colleagues retrospectively evaluated the surgical outcomes of 151 patients with chronic pancreatitis at a high‐volume center. Detailed analysis of patient characteristics, indications for surgery, and short‐ and long‐term results revealed that surgical treatment for painful chronic pancreatitis can be safe and effective, relieving pain while preserving maximal pancreatic function. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1868-6974 1868-6982 |
DOI: | 10.1002/jhbp.795 |