ArticleJournal of pain research2019
Surgical options for control of abdominal pain in chronic pancreatitis patients.
Article in Journal of pain research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Simplified technique in total pancreatectomy with islet cell autotransplantation after Frey's procedure: a case report.Surgical case reports · 2024Article
- Challenges of Managing Type 3c Diabetes in the Context of Pancreatic Resection, Cancer and Trauma.Journal of clinical medicine · 2024Review
- Pancreatolithiasis: Does Management Depend on Clinical Manifestations?The American journal of case reports · 2024Article
- Complications of chronic pancreatitis prior to and following surgical treatment: A proposal for classification.World journal of clinical cases · 2022Article
- Article
- 'Short' pancreaticojejunostomy might be a valid option for treatment of chronic pancreatitis in many cases.World journal of gastrointestinal surgery · 2021Article
- Disease duration before surgical resection for chronic pancreatitis impacts long-term outcome.Medicine · 2020Article
- Gastric volvulus with perforation 1 year after total pancreatectomy: a case report.Surgical case reports · 2020Article
- Pancreaticojejunostomy Obstruction Due to Jejuno-Jejunal Intussusception in the Roux Limb: A Rare Late Complication Following Longitudinal Pancreaticojejunostomy.Journal of the West African College of SurgeonsArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLong lasting and unbearable abdominal pain is the most common symptom of chronic pancreatitis (CP). This study aimed to evaluate surgical options for the control of chronic pancreatic pain based on anatomical morphological changes.
methodsA retrospective review of patients who underwent surgery for treatment of chronic pancreatic pain in Peking University First Hospital between January 2000 and December 2017 was performed. The surgical options included modified Puestow procedure, Frey procedure, Beger procedure, pancreaticoduodenectomy (PD) or pylorus preserving pancreaticoduodenectomy (PPPD), distal pancreatectomy and total pancreatectomy.
resultsAmong 116 patients, pain relief rate after surgery was 82.6% (95/115) while 22 (23.2%) cases suffered recurrent chronic pancreatic pain during follow-up. Pain relief rate was 83.1% (54/65) after modified Puestow procedure, 63.6% (7/11) after distal pancreatectomy, 83.3% (10/12) after PD/PPPD, 86.7% (13/15) after Frey procedure, and 90% (9/10) after Beger procedure. Pain recurrence rate was 27.8% (15/54) after modified Puestow procedure, 42.9% (3/7) after distal pancreatectomy, 10% (1/10) after PD/PPPD, 15.4% (2/13) after Frey procedure, and 11.1% (1/9) after Beger procedure.
conclusionThe surgical options for the control of chronic pancreatic pain according to the anatomical morphological changes of CP is reasonable and effective. The procedure of distal pancreatectomy alone should be cautiously used for pain relief.
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