Reporting of longitudinal pancreatojejunostomy with partial pancreatic head resection (the Frey procedure) for chronic pancreatitis: A systematic review

Baltatzis, Minas; Jegatheeswaran, Santhalingam; Siriwardena, Ajith K.

doi:10.1016/j.hbpd.2021.02.004

Cited by 2 publications

(3 citation statements)

References 43 publications

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“…Although the pancreas-specific complications and main duct status for Grade IV injuries is challenging to confirm within the literature, there is a complete paucity of reported long-term outcomes following pancreatic injuries. Beyond 90 days, it became evident in our series that the vast majority of nonresected patients with controlled pancreatic fistulas (80%) required an eventual secondary operative intervention to address either the persistent fistula or delayed main duct stricture leading to recurrent pancreatitis (four roux-en-Y pancreatic fistulojejunostomies, three extended distal pancreatectomies, one Frey procedure) 25,40 . In comparison, all postresectional fistulas closed within 64 days.…”

Section: Discussionmentioning

confidence: 81%

“…Beyond 90 days, it became evident in our series that the vast majority of nonresected patients with controlled pancreatic fistulas (80%) required an eventual secondary operative intervention to address either the persistent fistula or delayed main duct stricture leading to recurrent pancreatitis (four roux-en-Y pancreatic fistulojejunostomies, three extended distal pancreatectomies, one Frey procedure). 25,40 In comparison, all postresectional fistulas closed within 64 days. The difference in pancreas fistula treatment and trajectory between the nonresected and resected patient cohorts highlights the reality of a proximal pancreatic fistula as a result of main duct disruption.…”

Section: Immediate Pancreas-specific Outcomesmentioning

confidence: 99%

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Does drainage or resection predict subsequent interventions and long-term quality of life in patients with Grade IV pancreatic injuries: A population-based analysis

Ball

Biffl

Vogt

et al. 2021

J Trauma Acute Care Surg

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BACKGROUND:Clinical equipoise remains significant for the treatment of Grade IV pancreatic injuries in stable patients (i.e., drainage vs. resection). The literature is poor in regards to experience, confirmed main pancreatic ductal injury, nuanced multidisciplinary treatment, and long-term patient quality of life (QOL). The primary aim was to evaluate the management and outcomes (including long-term QOL) associated with Grade IV pancreatic injuries. METHODS:All severely injured adult patients with pancreatic trauma were evaluated (Grade IV injuries compared). Concordance of perioperative imaging, intraoperative exploration, and pathological reporting with a main pancreatic ductal injury was required.Patients with resection of Grade IV injuries were compared with drainage alone. Long-term QOL was evaluated (Standard Short Form-36). RESULTS:Of 475 pancreatic injuries, 36(8%) were confirmed as Grade IV. Twenty-four (67%) underwent a pancreatic resection (29% pancreatoduodenectomy; 71% extended distal pancreatectomy [EDP]). Patient, injury and procedure demographics were similar between resection and drainage groups (p > 0.05). Pancreas-specific complications in the drainage group included 92% pancreatic leaks, 8% pseudocyst, and 8% walled-off pancreatic necrosis. Among patients with controlled pancreatic fistulas beyond 90 days, 67% required subsequent pancreatic operations (fistulo-jejunostomy or EDP). Among patients whose fistulas closed, 75% suffered from recurrent pancreatitis (67% eventually undergoing a Frey or EDP). All patients in the resection group had fistula closure by 64 days after injury. The median number of pancreas-related health care encounters following discharge was higher in the drainage group (9 vs. 5; p = 0.012). Long-term (median follow-up = 9 years) total QOL, mental and physical health scores were higher in the initial resection group (p = 0.031, 0.022 and 0.017 respectively). CONCLUSION:The immediate, intermediate and long-term experiences for patients who sustain Grade IV pancreatic injuries indicate that resection is the preferred option, when possible. The majority of drainage patients will require additional, delayed pancreas-targeted surgical interventions and report poorer long-term QOL.

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Section: Discussionmentioning

confidence: 81%

Section: Immediate Pancreas-specific Outcomesmentioning

confidence: 99%

Does drainage or resection predict subsequent interventions and long-term quality of life in patients with Grade IV pancreatic injuries: A population-based analysis

Ball

Biffl

Vogt

et al. 2021

J Trauma Acute Care Surg

View full text Add to dashboard Cite

show abstract

“…Pancreaticoduodenectomy (PD), distal pancreatectomy with splenectomy with splenectomy (DP) and total pancreatectomy with splenectomy (TP), which resect the lesions along with the peripheral pancreatic parenchymal, remain to be the standard surgical procedure for pancreatic malignant cancers [3,4,1] . Due to the increasing emphasis on the preservation of pancreatic exocrine /endocrine functions, and the peripheral organs' fucntions, organ-preserving procedures are advocated in the treatment of benign or borderline malignant pancreatic diseases [5][6][7] . Usually, organ-preserving operations include pancreatic enucleation, central pancreatic resection, splenic-preserving distal pancreatectomy, pylorus preserving pancreatoduodenectomy and duodenal-preserving pancreatic head resection which have been advocated in recent years [8,9] .…”

Section: Introductionmentioning

confidence: 99%

Research Trend of Organ-Preserving Pancreatic Resection from 2000 to 2022: A Bibliometric and Visualized Analysis

Zhou

Wang

et al. 2022

Preprint

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Background Organ-preserving pancreatic resection has drawn more and more attention in the recent decades. This bibliometric analysis aimed to analyze the relevant articles to investigate the development trend and research distribution of this discipline. Methods Based on Web of Science database, the relevant terms of organ-preserving pancreatic resection were used to retrieve articles for bibliometric analysis. The relevant articles were retrieved and further analyzed by their publication journals, countries and institutions of origin, authors, and keywords. Results The 200 top-cited (T200) articles published from 2000 to 2022 were identified. These articles were published in 43 journals; among which Journal of Gastrointestinal Surgery published the most articles (n = 30). The articles came from 25 countries, with Germany accounting for the plurality (n = 43). Of the 886 scholars contributed to the research, Buchler MW, from Ruprecht Karls University Heidelberg in Germany, published the most articles (n = 17), with the total citations of 1158. Furthermore, Ruprecht Karls University Heidelberg, Germany, published the largest number of articles in organ-preserving pancreatic resection (n = 16), with the total citations of 955. Among articles retrieved, newly burst keywords showed the development trend of further attention in perioperative care, functional convention, and international cooperation. Conclusion Our study analyzed articles in organ-preserving pancreatic resection in the 21st century. The study was expected to provide panoramic information and shed light on future studies.

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Reporting of longitudinal pancreatojejunostomy with partial pancreatic head resection (the Frey procedure) for chronic pancreatitis: A systematic review

Cited by 2 publications

References 43 publications

Does drainage or resection predict subsequent interventions and long-term quality of life in patients with Grade IV pancreatic injuries: A population-based analysis

Does drainage or resection predict subsequent interventions and long-term quality of life in patients with Grade IV pancreatic injuries: A population-based analysis

Research Trend of Organ-Preserving Pancreatic Resection from 2000 to 2022: A Bibliometric and Visualized Analysis

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