Optimal management of early surgery of chronic pancreatitis
Keywords:
chronic, duodenal obstruction, general health, pancreas, pancreaticoduodenectomy, pancreatitis, patients, steatorrheaAbstract
The aim of the present research is to investigate whether there are advantages of early surgical treatment or not, especially for pain relief. Retrospective analysis of data of 147 patients from 2001 to 2020 was conducted, which underwent surgical treatment of chronic pancreatitis. Patients who had been suffering from chronic pancreatitis symptoms for 3 years or more were included in the control group (“late surgical treatment”), and patients who had been noting symptoms of chronic pancreatitis less than 3 years were included in the study group (“early surgical treatment”). All patients completed the EORTC QLQ-30, SF-36 questionnaires, as well as the questionnaire developed by the research authors, via telephone or mail or during the visit. According to all scales of the SF 36 questionnaire, except for “Physical functioning”, the group of “Early surgical treatment” prevails over the group of “Late surgical treatment”. The “Early surgical treatment” group had the best average scores on all functional scales of the EORTC QLQ-30 questionnaire compared to the “Late surgical treatment” group, except for the Cognitive Functioning scale. From the symptomatic scales, the “Early surgical treatment” group had the best averages of Pain and Diarrhoea.
Downloads
References
Ahmad, S.A., Wray, C.J., Rilo, H.R. (2006). Chronic pancreatitis: recent advances and ongoing challenges. Curr Probl Surg. 43: 135e238.
Ahmad, S.A., Wray, C.J., Rilo, H.R. (2006). Chronic pancreatitis: recent advances and ongoing challenges. Curr Probl Surg. 43: 135e238.
Ali, U. A., Nieuwenhuijs, V. B., van Eijck, C. H., Gooszen, H. G., van Dam, R. M., Busch, O. R., ... & Dutch Pancreatitis Study Group. (2012). Clinical outcome in relation to timing of surgery in chronic pancreatitis: a nomogram to predict pain relief. Archives of Surgery, 147(10), 925-932.
Andersen, D. K., & Frey, C. F. (2010). The evolution of the Surgery treatment of chronic pancreatitis. Annals of surgery, 251(1), 18-32.
Atsawarungruangkit, A., & Pongprasobchai, S. (2015). Current understanding of the neuropathophysiology of pain in chronic pancreatitis. World journal of gastrointestinal pathophysiology, 6(4), 193.
Bachmann, K., Tomkoetter, L., Erbes, J., Hofmann, B., Reeh, M., Perez, D., ... & Mann, O. (2014). Beger and Frey procedures for treatment of chronic pancreatitis: comparison of outcomes at 16-year follow-up. Journal of the American College of Surgeons, 219(2), 208-216. https://doi.org/10.1016/j.jamcollsurg.2014.03.040
Bellon, E., Roswora, M. D., Melling, N., Grotelueschen, R., Grupp, K., Reeh, M., ... & Bachmann, K. (2019). Duodenum-preserving pancreatic head resection: A retrospective analysis of the Hamburg Modification. Surgery, 165(5), 938-945. https://doi.org/10.1016/j.surg.2018.11.009
Beyer, G., Habtezion, A., Werner, J., Lerch, M. M., & Mayerle, J. (2020). Chronic pancreatitis. The Lancet, 396(10249), 499-512. https://doi.org/10.1016/S0140-6736(20)31318-0
Buechler, M., Friess, H., Jseumann, R., Bittner, R., & Beger, H. G. (1993). Duodenum-preserving resection of the head of the pancreas: the Ulm experience. In Standards in pancreatic surgery (pp. 436-449). Springer, Berlin, Heidelberg.
Carchi, J. A. Y. ., Catagua, T. C. M. ., Rivera, D. G. B. ., Mera, V. B. ., & Rosario, M. del . (2021). From beginner to expert, experience of the rotating nursing intern in pre-professional practice. International Journal of Health Sciences, 5(2), 111-117.
Drewes, A. M., Kempeneers, M. A., Andersen, D. K., Arendt-Nielsen, L., Besselink, M. G., Boermeester, M. A., ... & Windsor, J. (2019). Controversies on the endoscopic and Surgery management of pain in patients with chronic pancreatitis: pros and cons!. Gut, 68(8), 1343-1351.
Hamanou, H., Kawa, S., Ochi, Y., Unno, H., Shiba, N., Wajiki, M., ... & Kiyosawa, K. (2002). Hydronephrosis associated with retroperitoneal fibrosis and sclerosing pancreatitis. The Lancet, 359(9315), 1403-1404. https://doi.org/10.1016/S0140-6736(02)08359-9
Issa, Y., Kempeneers, M. A., Bruno, M. J., Fockens, P., Poley, J. W., Ali, U. A., ... & Dutch Pancreatitis Study Group. (2020). Effect of early surgery vs endoscopy-first approach on pain in patients with chronic pancreatitis: the ESCAPE randomized clinical trial. Jama, 323(3), 237-247.
Ke, N., Jia, D., Huang, W., Nunes, Q. M., Windsor, J. A., Liu, X., & Sutton, R. (2018). Earlier surgery improves outcomes from painful chronic pancreatitis. Medicine, 97(19).
Kemalasari, I., Abdullah, M., & Simadibrata, M. (2018). Chronic Pancreatitis. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, 19(2), 107-117.
Kemp, R., & Prasad, V. (2017). Surrogate endpoints in oncology: when are they acceptable for regulatory and clinical decisions, and are they currently overused?. BMC medicine, 15(1), 1-7.
Konstantinidis, I. T., Dursun, A., Zheng, H., Wargo, J. A., Thayer, S. P., Fernandez-del Castillo, C., ... & Ferrone, C. R. (2010). Metastatic tumors in the pancreas in the modern era. Journal of the American College of Surgeons, 211(6), 749-753. https://doi.org/10.1016/j.jamcollsurg.2010.08.017
Kuhlmann, L., Teo, K., Olesen, S. S., Phillips, A. E., Faghih, M., Tuck, N., ... & Drewes, A. M. (2021). Development of the Comprehensive Pain Assessment Tool short form for chronic pancreatitis: validity and reliability testing. Clinical Gastroenterology and Hepatology. https://doi.org/10.1016/j.cgh.2021.05.055
Lammert, E., Cleaver, O., & Melton, D. (2003). Role of endothelial cells in early pancreas and liver development. Mechanisms of development, 120(1), 59-64. https://doi.org/10.1016/S0925-4773(02)00332-5
Lestari, W. O. S. W., Syarif, S., Hidayanty, H., Aminuddin, A., & Ramadany, S. (2021). Nutrition education with android-based application media to increase knowledge, attitudes, and behaviors of pregnant women about chronic energy deficiency (KEK). International Journal of Health & Medical Sciences, 4(1), 15-22.
Liao, Q., Zhao, Y. P., Wu, W. W., Li, B. L., & Li, J. Y. (2003). Diagnosis and treatment of chronic pancreatitis. Hepatobiliary & pancreatic diseases international: HBPD INT, 2(3), 445-448.
Lowe, M. E., Goodman, M. T., Coté, G. A., Glesby, M. J., Haupt, M., Schork, N. J., ... & Whitcomb, D. C. (2018). Accelerating the Drug Delivery Pipeline for Acute and Chronic Pancreatitis: Summary of the Working Group on Drug Development and Trials in Recurrent Acute Pancreatitis (RAP) at the National Institute of Diabetes and Digestive and Kidney Diseases Workshop. Pancreas, 47(10), 1193.
Massey Jr, F. J. (1951). The Kolmogorov-Smirnov test for goodness of fit. Journal of the American statistical Association, 46(253), 68-78.
Olesen, S. S., Nøjgaard, C., Novovic, S., Jensen, N. M., Nørregaard, P., Dahl, E. E., ... & Drewes, A. M. (2020). Pain and aetiological risk factors determine quality of life in patients with chronic pancreatitis, but a brick in the puzzle is missing. Pancreatology, 20(7), 1347-1353. https://doi.org/10.1016/j.pan.2020.09.004
Polatova, D. S., Islamov, U. F., Davletov, R. R., Savkin, A. V., & Sharipov, M. M. (2021). Oncologic outcomes of pelvic bone sarcomas Surgery. International Journal of Health Sciences, 5(3), 252-259.
Shevchenko BF, Babiy AM, Gravirovskaya NG, Petishko OP. (2016). The Validity of Radiological Methods in Assessment of Inflammatory Activity and Fibrous Transformation of the Pancreas at Chronic Pancreatitis. Novosti Khirurgii. 24. 240-248.
Tanaka, S., Kobayashi, T., Nakanishi, K., Okubo, M., Murase, T., Hashimoto, M., & Takeuchi, K. (2000). Corticosteroid-responsive diabetes mellitus associated with autoimmune pancreatitis. The Lancet, 356(9233), 910-911. https://doi.org/10.1016/S0140-6736(00)02684-2
van der Gaag, N. A., van Gulik, T. M., Busch, O. R., Sprangers, M. A., Bruno, M. J., Zevenbergen, C., ... & Boermeester, M. A. (2012). Functional and medical outcomes after tailored surgery for pain due to chronic pancreatitis. Annals of surgery, 255(4), 763-770.
Vanga, R. R., Tansel, A., Sidiq, S., El-Serag, H. B., & Othman, M. O. (2018). Diagnostic performance of measurement of fecal elastase-1 in detection of exocrine pancreatic insufficiency: systematic review and meta-analysis. Clinical Gastroenterology and Hepatology, 16(8), 1220-1228. https://doi.org/10.1016/j.cgh.2018.01.027
Vinicius, P. E. D. R. A. Z. Z. I., FIGUEIREDO, F. A. T. D., Adami, L. E., Furlaneto, F., Palioto, D. B., & Messora, M. R. (2020). Surrogate endpoints: when to use and when not to use? A critical appraisal of current evidences. Brazilian Oral Research, 34.
Widana, I.K., Dewi, G.A.O.C., Suryasa, W. (2020). Ergonomics approach to improve student concentration on learning process of professional ethics. Journal of Advanced Research in Dynamical and Control Systems, 12(7), 429-445.
Wilcox CM, Yadav D, Ye T, Gardner TB, Gelrud A, Sandhu BS, Lewis MD, Al-Kaade S, Cote GA, Forsmark CE, Guda NM, Conwell DL, Banks PA, Muniraj T, Romagnuolo J, Brand RE, Slivka A, Sherman S, Wisniewski SR, Whitcomb DC, Anderson MA. (2015). Chronic pancreatitis pain pattern and severity are independent of abdominal imaging findings. Clin Gastroenterol Hepatol. 13(3), 552-60.
Yang, C. J., Bliss, L. A., Freedman, S. D., Sheth, S., Vollmer, C. M., Ng, S. C., ... & Tseng, J. F. (2015). Surgery for chronic pancreatitis: the role of early surgery in pain management. Pancreas, 44(5), 819-823.
Yang, C. J., Bliss, L. A., Schapira, E. F., Freedman, S. D., Ng, S. C., Windsor, J. A., & Tseng, J. F. (2014). Systematic review of early surgery for chronic pancreatitis: impact on pain, pancreatic function, and re-intervention. Journal of Gastrointestinal Surgery, 18(10), 1863-1869.
Yarmukhamedova, N. F., Matkarimova, D. S., Bakieva, S. K., & Salomova, F. I. (2021). Features of the frequency of distribution of alleles and genotypes of polymorphisms of the gene Tnf-A (G-308a) in patients with rhinosinusitis and the assessment of their role in the development of this pathology. International Journal of Health & Medical Sciences, 4(1), 164-168.
Zhao, X., Cui, N., Wang, X., & Cui, Y. (2017). Surgery strategies in the treatment of chronic pancreatitis: An updated systematic review and meta-analysis of randomized controlled trials. Medicine, 96(9).
Published
How to Cite
Issue
Section
Copyright (c) 2021 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
