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Frey's procedure for chronic pancreatitis: a 10-year single-center experience in Korea
Annals of Surgical Treatment and Research ; : 296-301, 2019.
Artigo em Inglês | WPRIM | ID: wpr-762718
ABSTRACT

PURPOSE:

Chronic pancreatitis (CP) is progressive inflammatory disease that leads to irreversible destruction of the pancreatic parenchyma. The main indications for surgical intervention in cases involving CP are intractable pain, suspicion of malignancy, and failure of other methods. However, there is no report related to Frey's procedure in Korea; hence, we aimed to investigate and analyze our institution's experience and determine the benefits of surgical treatment for CP.

METHODS:

This was a retrospective study of 24 patients with CP who underwent Frey's procedure at Gangnam Severance Yonsei University between January 2007 and December 2017. Preoperative exocrine and endocrine pancreatic function, perioperative finding (blood loss, operation time), postoperative complications were evaluated. Statistical analytics were chi-square test, Fisher exact tests, and Wilcoxon signed-rank test and Mann-Whitney U-test.

RESULTS:

Surgery was performed due to alcohol-derived CP in 12 of 24 patients (50%) and due to pancreatic stones in 15 of 24 patients (62.5%). Two patients had postoperative complications which were managed conservatively. After surgery, 7 of 24 patients were prescribed with exocrine medication. Comparison of the preoperative and postoperative conditions showed that glycated hemoglobin had no significant differences. After surgery, only 5 patients (21%) complained of intermittent abdominal pain.

CONCLUSION:

In conclusion, Frey's procedure appears to be a less burdensome surgical procedure. Thus, it could be the first option for management of patients with large pancreatic stone.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Dor Intratável / Complicações Pós-Operatórias / Hemoglobinas Glicadas / Pancreaticojejunostomia / Dor Abdominal / Estudos Retrospectivos / Pancreatite Crônica / Coreia (Geográfico) Tipo de estudo: Estudo observacional Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of Surgical Treatment and Research Ano de publicação: 2019 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Dor Intratável / Complicações Pós-Operatórias / Hemoglobinas Glicadas / Pancreaticojejunostomia / Dor Abdominal / Estudos Retrospectivos / Pancreatite Crônica / Coreia (Geográfico) Tipo de estudo: Estudo observacional Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Annals of Surgical Treatment and Research Ano de publicação: 2019 Tipo de documento: Artigo