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 |
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Tokyo
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01.09.2020
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Abstract | 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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AbstractList | 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. BACKGROUND/PURPOSETo determine the short- and long-term results of surgical treatments for chronic pancreatitis (CP) at a high-volume center in Japan. METHODSThe 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). RESULTSSurgical 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). CONCLUSIONSSurgical treatment for painful chronic pancreatitis can be safe and effective. An optimal procedure should guarantee pain relief and preserve a maximum of pancreatic function. Abstract 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. |
Author | Kawaguchi, Kohei Nakai, Takuya Takebe, Atsushi Yoshida, Yuta Kamei, Keiko Matsumoto, Ippei Murase, Takaaki Matsumoto, Masataka Takeyama, Yoshifumi Satoi, Shumpei |
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Cites_doi | 10.1097/MD.0000000000001109 10.1055/s-2003-40237 10.1007/s11605-014-2571-8 10.1097/00000658-199812000-00008 10.1002/jhbp.48 10.1097/SLA.0000000000000819 10.1097/MD.0000000000010651 10.1097/SLA.0b013e31824b7697 10.1001/archsurg.2012.1094 10.1016/j.surg.2016.11.014 10.1097/00000658-199504000-00004 10.1056/NEJMoa060610 10.1097/01.sla.0000133083.54934.ae 10.1016/j.surg.2014.06.068 10.1097/MPA.0000000000000333 10.1053/j.gastro.2011.07.049 10.1159/000050092 10.1097/01.sla.0000157268.78543.03 10.1001/jama.2019.20967 10.1007/s00534-009-0181-8 10.2147/CEG.S168266 10.1016/j.surg.2004.02.011 10.1016/j.surg.2007.02.001 10.1016/j.pan.2015.05.466 10.1002/jhbp.176 10.1111/cen.14168 10.1007/s00535-015-1149-x |
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Snippet | 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... Abstract Background/Purpose To determine the short‐ and long‐term results of surgical treatments for chronic pancreatitis (CP) at a high‐volume center in... Background/PurposeTo determine the short‐ and long‐term results of surgical treatments for chronic pancreatitis (CP) at a high‐volume center in... BACKGROUND/PURPOSETo determine the short- and long-term results of surgical treatments for chronic pancreatitis (CP) at a high-volume center in Japan.... |
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SubjectTerms | chronic pancreatitis Frey operation longitudinal pancreaticojejunostomy pancreaticoduodenectomy Pancreatitis surgical treatment |
Title | Surgical treatment for chronic pancreatitis: A single‐center retrospective study in Japan |
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