Cargando…
Surgical options for control of abdominal pain in chronic pancreatitis patients
BACKGROUND: Long 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. METHODS: A retrospective review of patients who underwen...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6666366/ https://www.ncbi.nlm.nih.gov/pubmed/31440077 http://dx.doi.org/10.2147/JPR.S208212 |
_version_ | 1783439978046423040 |
---|---|
author | Tian, Xiaodong Ma, Yongsu Gao, Hongqiao Zhuang, Yan Yang, Yinmo |
author_facet | Tian, Xiaodong Ma, Yongsu Gao, Hongqiao Zhuang, Yan Yang, Yinmo |
author_sort | Tian, Xiaodong |
collection | PubMed |
description | BACKGROUND: Long 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. METHODS: A 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. RESULTS: Among 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. CONCLUSION: The 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. |
format | Online Article Text |
id | pubmed-6666366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-66663662019-08-22 Surgical options for control of abdominal pain in chronic pancreatitis patients Tian, Xiaodong Ma, Yongsu Gao, Hongqiao Zhuang, Yan Yang, Yinmo J Pain Res Original Research BACKGROUND: Long 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. METHODS: A 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. RESULTS: Among 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. CONCLUSION: The 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. Dove 2019-07-26 /pmc/articles/PMC6666366/ /pubmed/31440077 http://dx.doi.org/10.2147/JPR.S208212 Text en © 2019 Tian et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Tian, Xiaodong Ma, Yongsu Gao, Hongqiao Zhuang, Yan Yang, Yinmo Surgical options for control of abdominal pain in chronic pancreatitis patients |
title | Surgical options for control of abdominal pain in chronic pancreatitis patients |
title_full | Surgical options for control of abdominal pain in chronic pancreatitis patients |
title_fullStr | Surgical options for control of abdominal pain in chronic pancreatitis patients |
title_full_unstemmed | Surgical options for control of abdominal pain in chronic pancreatitis patients |
title_short | Surgical options for control of abdominal pain in chronic pancreatitis patients |
title_sort | surgical options for control of abdominal pain in chronic pancreatitis patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6666366/ https://www.ncbi.nlm.nih.gov/pubmed/31440077 http://dx.doi.org/10.2147/JPR.S208212 |
work_keys_str_mv | AT tianxiaodong surgicaloptionsforcontrolofabdominalpaininchronicpancreatitispatients AT mayongsu surgicaloptionsforcontrolofabdominalpaininchronicpancreatitispatients AT gaohongqiao surgicaloptionsforcontrolofabdominalpaininchronicpancreatitispatients AT zhuangyan surgicaloptionsforcontrolofabdominalpaininchronicpancreatitispatients AT yangyinmo surgicaloptionsforcontrolofabdominalpaininchronicpancreatitispatients |