Drainage versus resection in surgical treatment of chronic pancreatitis: Prospective randomized trial comparing the frey procedure with pylorus-preserving pancreatoduodenectomy

Izbicki, J. R.; Bloechle, C.; Broering, DC; Knoefel, WT; Kuechler, T.; Ce, Broelsch

doi:10.1016/s0016-5085(98)81905-7

Cited by 111 publications

(272 citation statements)

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“…Mixed techniques have equal pain relief and better short-term outcome than PD [229,230,293,294] while results in longterm follow-up are similar [295,296].…”

Section: S11mentioning

confidence: 97%

“…Eight randomized studies aiming to compare different treatments have been performed to date [36,174,[228][229][230][231][232][233]. One of them did not include pain relief among the study endpoints [233].…”

Section: Statement (El 4 − Rg C)mentioning

confidence: 99%

“…V-shaped operation is a safe and effective treatment for small-duct disease with median pain score decreased by 95% at follow-up [287]. Generally PD has good results in the treatment of chronic pancreatitis [230,234,[288][289][290][291][292][293]. However, with the advent of the mixed techniques the role of the PD has been discussed.…”

Section: S10mentioning

confidence: 99%

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Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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“…Mixed techniques have equal pain relief and better short-term outcome than PD [229,230,293,294] while results in longterm follow-up are similar [295,296].…”

Section: S11mentioning

confidence: 97%

Section: Statement (El 4 − Rg C)mentioning

confidence: 99%

See 1 more Smart Citation

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

View full text Add to dashboard Cite

show abstract

“…A randomized controlled study [39] comparing Frey procedure with ppPD shows significantly lower morbidity for the former (19% vs 53%), while after a median followup of 24 months both groups experienced comparable pain relief (94% vs 95%), but the QOL was better with Frey procedure (71% vs 43%). Comparing Beger procedure with Frey procedure (RCT) [16,40,52], the pain relief (ranging between 93% and 95%), control of complications to adjacent organs (91% Frey, 92% Beger) and improvement in the QOL (58-67% increase in the overall QOL index) were similar.…”

Section: Resectional Proceduresmentioning

confidence: 99%

“…The longterm results in CP, however, are poor. Postoperative morbidities range between 30% and 50% [33][34][35][36] with disappointing endocrine and exocrine functions as compared with other resection procedures [16,32,33,[35][36][37][38][39][40]. Thus, PD is no longer a preferred choice in patients with CP.…”

Section: Resectional Proceduresmentioning

confidence: 99%

Surgery for Chronic Pancreatitis

Perwaiz¹,

Singh²,

Chaudhary³

2011

Indian J Surg

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Chronic pancreatitis (CP) is progressive inflammatory process of the pancreas. Abdominal pain remains the most debilitating symptom affecting quality of life, apart from diabetes mellitus, steatorrhoea and weight loss. The treatment options have evolved over the past decades and are aimed to provide durable relief in pain with possible attempt to support or improve the failing endocrine and exocrine functions. Surgical treatment options have shown the potentials to provide superior long term results compared to the pharmacological and endoscopic modalities and are broadly divided in to drainage, resection and combination hybrid procedures. The choice is based on the morphology of the main pancreatic duct, presence of head mass and associated complication of CP. Knowing the basic nature of the disease, total pancreatectomy seems a curative option but not without significant morbidities. There is recent paradigm shift towards organ sparing surgical procedures with reasonable success. Despite recent advancement in the treatment modalities for CP the overall quality of life remains moderate which need further addressal.

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Pancreatic Head Excavation

Andersen

Topazian

2004

Arch Surg

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Hypothesis: Despite the introduction of new methods for duodenum-preserving pancreatic head resection, such as the Beger and Frey procedures, the management of benign lesions of the proximal pancreas remains controversial. We developed a modification of the duodenumpreserving pancreatic head resection in which the proximal pancreatic duct or central core of the pancreatic head is excised by ultrasonic dissection and examined the feasibility, safety, and outcomes of this new procedure. Design and Setting: Prospective cohort study in an academic tertiary care referral center.

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Drainage versus resection in surgical treatment of chronic pancreatitis: Prospective randomized trial comparing the frey procedure with pylorus-preserving pancreatoduodenectomy

Cited by 111 publications

References 0 publications

Italian consensus guidelines for chronic pancreatitis

Italian consensus guidelines for chronic pancreatitis

Surgery for Chronic Pancreatitis

Pancreatic Head Excavation

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