Short- and long-term outcome of surgery for chronic pancreatitis in children: a single surgeon experience

Ray, Sukanta; Ansari, Zuber; Kumar, Dilip; Jana, Koustav; Khamrui, Sujan

doi:10.1007/s00383-020-04691-3

Cited by 5 publications

(9 citation statements)

References 25 publications

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“…Ray et al 129 reviewed 54 children with CP who underwent surgery (26 Puestow [lateral pancreaticojejunostomy], 25 Frey, and 3 Izbicki procedures [a drainage procedure adapted for patients with small duct disease 133 ]). More than 90% underwent operations for pain, as assessed clinically.…”

Section: Resultsmentioning

confidence: 99%

“…Within this scoping review, our review of pancreatic surgery in CP is focused on relief of pain and reduction in hospitalization. Seven single-center, retrospective, observational studies examine the impact of surgical intervention on CP in children 31,127–132 . Chowdhury et al 31 is described previously.…”

Section: Resultsmentioning

confidence: 99%

“…Seven single-center, retrospective, observational studies examine the impact of surgical intervention on CP in children. 31,[127][128][129][130][131][132] Chowdhury et al 31 133 ]). More than 90% underwent operations for pain, as assessed clinically.…”

Section: Pancreatic Surgery In Childrenmentioning

confidence: 99%

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Outpatient Pain Management in Children With Chronic Pancreatitis

et al. 2022

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ObjectivesAlthough pain management is central to pediatric chronic pancreatitis (CP) care, no evidence-based guidelines exist. In this scoping systematic review, we sought promising strategies for CP pain treatment in children.MethodsWe systematically reviewed literature on pain management in children and adults with CP, and 2 conditions with similar pain courses: juvenile idiopathic arthritis and sickle cell disease.ResultsOf 8997 studies identified, 287 met inclusion criteria. There are no published studies of analgesic medications, antioxidants, dietary modification, integrative medicine, or regional nerve blocks in children with CP. In adults with CP, studies of nonopioid analgesics, pancreatic enzymes, and dietary interventions have mixed results. Retrospective studies suggest that endoscopic retrograde cholangiopancreatography and surgical procedures, most durably total pancreatectomy with islet autotransplant, improve pain for children with CP. Follow-up was short relative to a child's life. Large studies in adults also suggest benefit from endoscopic therapy and surgery, but lack conclusive evidence about optimal procedure or timing. Studies on other painful pediatric chronic illnesses revealed little generalizable to children with CP.ConclusionsNo therapy had sufficient high-quality studies to warrant untempered, evidence-based support for use in children with CP. Multicenter studies are needed to identify pain management “best practices.”

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Outpatient Pain Management in Children With Chronic Pancreatitis

et al. 2022

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“…3 Medical therapy is often ineffective in children with CP, and 30%-50% of patients require surgery in their lifetime. 1,2 Traditionally, the setup strategy that surgery is performed on patients who have not responded to conservative management was common; 4 however, in recent times surgery can be recommended as the first option in selected patients. 3 The nationwide survey reported approximately 40% of patients underwent surgery as the first option.…”

mentioning

confidence: 99%

“…The Frey procedure is drainage surgery reserved for patients with debilitating pain. 1,2 We present two pediatric sibling cases with hereditary chronic pancreatitis (HCP) successfully treated with the Frey procedure.…”

mentioning

confidence: 99%