Frey procedure for chronic pancreatitis: A narrative review

Ray, Sukanta; Basu, Chinmay; Dhali, Arkadeep; Dhali, Gopal Krishna

doi:10.1016/j.amsu.2022.104229

Cited by 7 publications

(8 citation statements)

References 42 publications

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“…Drainage procedures are utilized in the setting of a normal pancreatic head, with dilated pancreatic duct undergoing the Puestow procedure or its Partington and Rochelle modification and a non-dilated pancreatic duct undergoing Izbicki procedure [ 23 , 24 ]. Patients having suspicious pancreatic head mass undergo PD or PPPD [ 5 ]. Patients having pancreatic head mass with no or low suspicion of malignancy undergo DPPHR with one variation depending on intraoperative findings as mentioned in Table 3 [ 18 ].…”

Section: Reviewmentioning

confidence: 99%

“…Historically drainage procedures have been replaced by resection and hybrid procedures because of the high incidence of recurrent pain [ 5 ]. Currently, PD including pylorus-preserving and DPPHR is the most commonly used procedure in the setting of CP [ 42 ].…”

Section: Reviewmentioning

confidence: 99%

“…In addition, patients having local complications due to fibrosis leading to duodenal stenosis, biliary strictures, and splenic vein thrombosis leading to gastric varices benefit from surgery. Surgery aims to relieve pain, treat complications, preserve pancreatic reserve, and improve quality of life [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…The usual preoperative parameters assessed are dilated versus non-dilated pancreatic duct and the presence or absence of inflammatory mass in the pancreas. The critical triangle for resection is bounded by the common bile duct, duct of Wirsung, and portal vein [ 5 ]. Table 3 shows the spectrum of surgical procedures used in the treatment of CP, along with its brief description and indications.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Chronic Pancreatitis: A Systemic Review

Zafar¹

2023

Cureus

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Chronic pancreatitis is a debilitating disease. It is caused by the progressive destruction of normal pancreatic parenchyma, which is replaced by fibrous tissue causing pain in addition to pancreatic insufficiency. There is no single mechanism of pain in chronic pancreatitis. Several medical, endoscopic, and surgical treatment strategies are available to control this disease. Surgical techniques are divided into resection, drainage, and hybrid procedures. The review aimed to compare various surgical procedures used in the management of chronic pancreatitis. The ideal operation is the one that effectively and persistently relieves the pain and has the least morbidity with favorable pancreatic reserve. All the randomized control trials from inception to January 2023, which fulfilled the inclusion criteria, were extensively searched on PubMed and a systemic review was conducted comparing the surgical outcomes of the variety of operations used in chronic pancreatitis. Duodenum-preserving pancreatic head resection is the common procedure done with favorable outcomes.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Management of Chronic Pancreatitis: A Systemic Review

Zafar¹

2023

Cureus

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“…Traditionally, pain in chronic pancreatitis is managed initially with analgesics, pancreatic enzyme replacement therapy, and lifestyle modifications followed by endoscopic or surgical intervention. Almost half of the patients who do not respond to medical or endoscopic management are referred for surgical intervention[ 4 ]. The most common indication for surgery is intractable pain.…”

Section: Introductionmentioning

confidence: 99%

Changing trends in the minimally invasive surgery for chronic pancreatitis

Kalayarasan¹,

Shukla²

2023

World J Gastroenterol

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Chronic pancreatitis is a debilitating pancreatic inflammatory disease characterized by intractable pain resulting in poor quality of life. Conventional management of pancreatic pain consists of a step-up approach with medications and lifestyle modifications followed by endoscopic intervention. Traditionally surgery is reserved for patients who do not improve with other interventions. However, recent studies suggest that early surgical intervention is more beneficial as it can mitigate the progression of the pathological process and prevent loss of pancreatic function. Despite the widespread adoption of minimally invasive approaches in various gastrointestinal surgical disorders, minimally invasive surgery for chronic pancreatitis is slow to evolve. Technical difficulty due to severe inflammatory changes has been the major impediment to the widespread usage of minimally invasive surgery in chronic pancreatitis. With this background, the present review aimed to critically analyze the available evidence on the minimally invasive treatment of chronic pancreatitis. A Pub Med search of all relevant articles was performed using the appropriate keywords, parentheses, and Boolean operators. Most initial laparoscopic series have reported the feasibility of lateral pancreaticojejunostomy, considered an adequate procedure only in a small proportion of patients. The pancreatic head is the pacemaker of pain, so adequate decompression is critical for long-term pain relief. Recent studies have documented the feasibility of minimally invasive duodenum-preserving pancreatic head resection. With improvements in laparoscopic instrumentation and technological advances, minimally invasive surgery for chronic pancreatitis is gaining momentum. However, more high-quality evidence is required to document the superiority of minimally invasive surgery for chronic pancreatitis.

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Chronic pancreatitis

Lucocq,

Hughes

2024

Surgery (Oxford)

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Frey procedure for chronic pancreatitis: A narrative review

Cited by 7 publications

References 42 publications

Surgical Management of Chronic Pancreatitis: A Systemic Review

Surgical Management of Chronic Pancreatitis: A Systemic Review

Changing trends in the minimally invasive surgery for chronic pancreatitis

Chronic pancreatitis

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