Surgery for chronic pancreatitis: a review of 12 years experience
The surgical management of chronic pancreatitis remains controversial. We have practised a selective approach to surgery using symptoms and endoscopic retrograde cholangiopancreatography (ERCP) as the indications for operation and the procedure performed. A total of 76 patients who underwent surgery...
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| Veröffentlicht in: | Annals of the Royal College of Surgeons of England 1997-11, Vol.79 (6), p.405-409 |
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| creator | Byrne, R L Gompertz, R H Venables, C W |
| description | The surgical management of chronic pancreatitis remains controversial. We have practised a selective approach to surgery using symptoms and endoscopic retrograde cholangiopancreatography (ERCP) as the indications for operation and the procedure performed. A total of 76 patients who underwent surgery for chronic pancreatitis over a 12 year period were reviewed. Of the patients, 24 (32%) had a Whipple's resection (WR), 41 (54%) distal pancreatectomy (DP) with drainage, and 11 (14%) had other procedures. Eleven patients had died. Hospital records were reviewed and of the 65 patients alive at follow-up, 51 (79%) were interviewed. Twenty-three patients (74%) who underwent DP reported either excellent or good general health compared with 7 (44%) who had WR (P = 0.04). However, there was no difference in general health between operative groups using visual analogue scales. There was no difference in pain at follow-up between DP and WR. Of patients interviewed, 88% felt that their pain was better than before operation and 25 (49%) had no pain at all. Diabetes developed more frequently after DP (P = 0.005) than after WR. Good results can be achieved by pancreatic resection when careful selection is exercised. |
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We have practised a selective approach to surgery using symptoms and endoscopic retrograde cholangiopancreatography (ERCP) as the indications for operation and the procedure performed. A total of 76 patients who underwent surgery for chronic pancreatitis over a 12 year period were reviewed. Of the patients, 24 (32%) had a Whipple's resection (WR), 41 (54%) distal pancreatectomy (DP) with drainage, and 11 (14%) had other procedures. Eleven patients had died. Hospital records were reviewed and of the 65 patients alive at follow-up, 51 (79%) were interviewed. Twenty-three patients (74%) who underwent DP reported either excellent or good general health compared with 7 (44%) who had WR (P = 0.04). However, there was no difference in general health between operative groups using visual analogue scales. There was no difference in pain at follow-up between DP and WR. Of patients interviewed, 88% felt that their pain was better than before operation and 25 (49%) had no pain at all. Diabetes developed more frequently after DP (P = 0.005) than after WR. Good results can be achieved by pancreatic resection when careful selection is exercised.</description><identifier>ISSN: 0035-8843</identifier><identifier>EISSN: 1478-7083</identifier><identifier>PMID: 9422864</identifier><language>eng</language><publisher>England: Royal College of Surgeons of England</publisher><subject>Adolescent ; Adult ; Aged ; Cholangiopancreatography, Endoscopic Retrograde ; Chronic Disease ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Pain Measurement ; Pancreatectomy ; Pancreaticoduodenectomy ; Pancreatitis - diagnostic imaging ; Pancreatitis - surgery ; Postoperative Complications ; Treatment Outcome</subject><ispartof>Annals of the Royal College of Surgeons of England, 1997-11, Vol.79 (6), p.405-409</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2502973/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2502973/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9422864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Byrne, R L</creatorcontrib><creatorcontrib>Gompertz, R H</creatorcontrib><creatorcontrib>Venables, C W</creatorcontrib><title>Surgery for chronic pancreatitis: a review of 12 years experience</title><title>Annals of the Royal College of Surgeons of England</title><addtitle>Ann R Coll Surg Engl</addtitle><description>The surgical management of chronic pancreatitis remains controversial. We have practised a selective approach to surgery using symptoms and endoscopic retrograde cholangiopancreatography (ERCP) as the indications for operation and the procedure performed. A total of 76 patients who underwent surgery for chronic pancreatitis over a 12 year period were reviewed. Of the patients, 24 (32%) had a Whipple's resection (WR), 41 (54%) distal pancreatectomy (DP) with drainage, and 11 (14%) had other procedures. Eleven patients had died. Hospital records were reviewed and of the 65 patients alive at follow-up, 51 (79%) were interviewed. Twenty-three patients (74%) who underwent DP reported either excellent or good general health compared with 7 (44%) who had WR (P = 0.04). However, there was no difference in general health between operative groups using visual analogue scales. There was no difference in pain at follow-up between DP and WR. Of patients interviewed, 88% felt that their pain was better than before operation and 25 (49%) had no pain at all. Diabetes developed more frequently after DP (P = 0.005) than after WR. Good results can be achieved by pancreatic resection when careful selection is exercised.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Pancreatectomy</subject><subject>Pancreaticoduodenectomy</subject><subject>Pancreatitis - diagnostic imaging</subject><subject>Pancreatitis - surgery</subject><subject>Postoperative Complications</subject><subject>Treatment Outcome</subject><issn>0035-8843</issn><issn>1478-7083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkE1Lw0AURQdRaq3-BGFW7gLzlcwbF0IpWoWCC3UdJpOXdiTNxJmk2n9vwSK6uot7OQfuCZlypSHTDOQpmTIm8wxAyXNykdI7Y9xo4BMyMUoIKNSUzF_GuMa4p02I1G1i6Lyjve1cRDv4wadbamnEncdPGhrKBd2jjYniV4_RY-fwkpw1tk14dcwZeXu4f108Zqvn5dNivsp6UfAhc3ltRIUaec11JYAJNK4uRM4ARK5AOCk1qKLSBgE1VI0rciuUYRIUZ1zOyN0Ptx-rLdYOuyHatuyj39q4L4P15f-m85tyHXblQSGMlgfAzREQw8eIaSi3PjlsW9thGFOpTc40E3AYXv81_SqOp8lvcdppOQ</recordid><startdate>199711</startdate><enddate>199711</enddate><creator>Byrne, R L</creator><creator>Gompertz, R H</creator><creator>Venables, C W</creator><general>Royal College of Surgeons of England</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199711</creationdate><title>Surgery for chronic pancreatitis: a review of 12 years experience</title><author>Byrne, R L ; Gompertz, R H ; Venables, C W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p261t-c5d92be7e1d17b2802e9cd62508825482c337846b79e8e78bfc65a24903841013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>Pancreatectomy</topic><topic>Pancreaticoduodenectomy</topic><topic>Pancreatitis - diagnostic imaging</topic><topic>Pancreatitis - surgery</topic><topic>Postoperative Complications</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Byrne, R L</creatorcontrib><creatorcontrib>Gompertz, R H</creatorcontrib><creatorcontrib>Venables, C W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of the Royal College of Surgeons of England</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Byrne, R L</au><au>Gompertz, R H</au><au>Venables, C W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgery for chronic pancreatitis: a review of 12 years experience</atitle><jtitle>Annals of the Royal College of Surgeons of England</jtitle><addtitle>Ann R Coll Surg Engl</addtitle><date>1997-11</date><risdate>1997</risdate><volume>79</volume><issue>6</issue><spage>405</spage><epage>409</epage><pages>405-409</pages><issn>0035-8843</issn><eissn>1478-7083</eissn><abstract>The surgical management of chronic pancreatitis remains controversial. We have practised a selective approach to surgery using symptoms and endoscopic retrograde cholangiopancreatography (ERCP) as the indications for operation and the procedure performed. A total of 76 patients who underwent surgery for chronic pancreatitis over a 12 year period were reviewed. Of the patients, 24 (32%) had a Whipple's resection (WR), 41 (54%) distal pancreatectomy (DP) with drainage, and 11 (14%) had other procedures. Eleven patients had died. Hospital records were reviewed and of the 65 patients alive at follow-up, 51 (79%) were interviewed. Twenty-three patients (74%) who underwent DP reported either excellent or good general health compared with 7 (44%) who had WR (P = 0.04). However, there was no difference in general health between operative groups using visual analogue scales. There was no difference in pain at follow-up between DP and WR. Of patients interviewed, 88% felt that their pain was better than before operation and 25 (49%) had no pain at all. Diabetes developed more frequently after DP (P = 0.005) than after WR. Good results can be achieved by pancreatic resection when careful selection is exercised.</abstract><cop>England</cop><pub>Royal College of Surgeons of England</pub><pmid>9422864</pmid><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0035-8843 |
| ispartof | Annals of the Royal College of Surgeons of England, 1997-11, Vol.79 (6), p.405-409 |
| issn | 0035-8843 1478-7083 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2502973 |
| source | MEDLINE; PMC (PubMed Central); Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Adolescent Adult Aged Cholangiopancreatography, Endoscopic Retrograde Chronic Disease Female Follow-Up Studies Humans Male Middle Aged Pain Measurement Pancreatectomy Pancreaticoduodenectomy Pancreatitis - diagnostic imaging Pancreatitis - surgery Postoperative Complications Treatment Outcome |
| title | Surgery for chronic pancreatitis: a review of 12 years experience |
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