Duodenum-preserving pancreatic head resection or pancreatoduodenectomy for the surgical treatment of paraduodenal pancreatitis: a retrospective cohort study

Usenko, О. Yu.; Khomiak, I.; Khomiak, Andrii; Malik, A.; Kropelnytskyi, V.O.; Krol, Marina

doi:10.1007/s00423-023-02917-1

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…However, a recent retrospective analysis conducted by Oleksandr et al. [ 59 ] on 153 GP patients with only pancreatic head enlargement showed that for GP patients with only pancreatic head enlargement, preserving duodenal pancreatectomy and pancreaticoduodenectomy had similar pain control effects, but the former had a lower incidence of complications and shorter hospital stay. A study conducted by Vyacheslav et al.…”

Section: Therapeutic Value Of Eus In Gpmentioning

confidence: 99%

Diagnostic value of endoscopic ultrasound in groove pancreatitis

She,

2023

Annals of Medicine

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Aim: Groove pancreatitis (GP) is a rare type of chronic pancreatitis characterized by varying degrees of thickening and scarring of the duodenal wall, duodenal lumen stenosis, mucosal hypertrophy with plicae and cyst formation. GP is primarily observed in middle-aged male patients with a history of alcohol consumption. Clinical symptoms are usually non-specific, and there is currently no unified diagnostic standard. However, imaging methods, particularly endoscopic ultrasound (EUS), are useful for diagnosis. EUS-guided biopsy can provide a strong basis for the final diagnosis. This review summarizes the value of EUS and its derivative technologies in the diagnosis, differential diagnosis and treatment of GP. Methods: After searching in PubMed and Web of Science databases using ‘groove pancreatitis (GP)’ and ‘endoscopic ultrasonography (EUS)’ as keywords, studies related were compiled and examined. Results: EUS and its derivative technologies are of great significance in the diagnosis, differential diagnosis, and treatment of GP, but there are still limitations that need to be comprehensively applied with other diagnostic methods to obtain the most accurate results. Conclusion: EUS has unique value in both the diagnosis and treatment of GP. Clinicians need to be well-versed in the advantages and limitations of EUS for GP diagnosis to select the most suitable imaging diagnostic method for different cases and to reduce the unnecessary waste of medical resources.

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Section: Therapeutic Value Of Eus In Gpmentioning

confidence: 99%

Diagnostic value of endoscopic ultrasound in groove pancreatitis

She,

2023

Annals of Medicine

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The Role of Surgery in Chronic Pancreatitis

Kňazovický,

Roškovičová,

Gajdzik

et al. 2023

Pol Przegl Chir

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Chronic pancreatitis is an inflammatory disease characterized by the progressive replacement of the functional pancreatic parenchyma with fibrotic tissue. This leads to exocrine and endocrine insufficiency. A typical clinical feature is recurrent, severe upper abdominal pain, which negatively affects the patient’s quality of life. Conservative treatment as the method of first choice does not prevent irreversible changes in the pancreatic tissue. While endoscopic drainage can have some benefits in the early stages of the disease, it is generally unsuccessful in the long term. Based on recent studies, surgical intervention appears to be the most suitable treatment option for improving the patient’s quality of life. It currently includes a wide range of effective, proven drainage and resection procedures. Advances in surgical techniques and postsurgical intensive care have increased the frequency of pancreatic surgeries, while improvements in diagnostic methods have increased the number of patients who meet the indications for such surgery, including elderly and chronically ill patients. However, despite mortality rates decreasing, high morbidity rates remain a problem. Currently, in patients with an inflammatory mass in the head of the pancreas, pyloric and duodenal-preserving resection offers the best results. Different variants of these techniques appear to produce similar results. Various techniques have shown similar outcomes in terms of mortality, morbidity, pain relief, life expectancy and improved quality of life. The optimal timing of surgery has been addressed by several studies and most surgeons now favor early surgical intervention in order to prevent extensive destruction of pancreatic tissue.

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Duodenum-preserving pancreatic head resection or pancreatoduodenectomy for the surgical treatment of paraduodenal pancreatitis: a retrospective cohort study

Cited by 2 publications

References 22 publications

Diagnostic value of endoscopic ultrasound in groove pancreatitis

Diagnostic value of endoscopic ultrasound in groove pancreatitis

The Role of Surgery in Chronic Pancreatitis

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