Document Detail


Frey procedure in the treatment of chronic pancreatitis: short-term results.
MedLine Citation:
PMID:  17079939     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this multicenter study was to report the short-term results of the Frey procedure in the treatment of chronic pancreatitis. METHODS: For the period between September 2000 and January 2005, 34 Frey procedures were performed for chronic pancreatitis in 4 university hospitals. This study includes 31 men (91%) and 3 women (9%), with a mean age of 48 +/- 6 years (range, 32-58 years). The etiology of chronic pancreatitis was chronic alcohol ingestion in 32 patients (94%) and hereditary chronic pancreatitis in 2 patients. The indications of surgery were abdominal pain in all patients, requiring opiates in 59% (n = 20) and associated with a weight loss in 79% (n = 27). RESULTS: There was no mortality. Eleven postoperative surgical complications occurred in 7 patients (20%). Three patients had a single complication, and 4 patients had 2 complications. Pancreatic fistula occurred in 4 patients and healed under conservative management in all cases. One patient had massive bleeding from the stump of gastroduodenal artery requiring reoperation. The mean hospital stay was 16 +/- 8 days (range, 9-40 days). The mean follow-up was 15 +/- 12 months (range, 3-37 months). At the time of the last follow-up visit, the examiner judged that 19 patients (56%) have complete pain relief and 11 patients (32%) have substantial pain relief. No patient used narcotic analgesics postoperatively. Seven patients developed diabetes mellitus, requiring insulin (n = 1), oral hypoglycemic agents (n = 5), and diet adjustment (n = 1). Four patients developed exocrine insufficiency. Weight increases with a mean of 4.8 +/- 5.4 kg (range, 1-24 kg) in 27 patients (79%). CONCLUSIONS: Frey procedure appears as a safe technique with low mortality and morbidity rates and allows effective pain relief in about 90% of patients.
Authors:
Patrick Pessaux; Reza Kianmanesh; Jean-Marc Regimbeau; Bernard Sastre; Richard Delcenserie; Igor Sielezneff; Jean-Pierre Arnaud; Alain Sauvanet
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Pancreas     Volume:  33     ISSN:  1536-4828     ISO Abbreviation:  Pancreas     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-02     Completed Date:  2006-11-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608542     Medline TA:  Pancreas     Country:  United States    
Other Details:
Languages:  eng     Pagination:  354-8     Citation Subset:  IM    
Affiliation:
Department of Digestive Surgery, University Hospital, Angers, France. pessauxpchuangers@yahoo.fr
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MeSH Terms
Descriptor/Qualifier:
Abdominal Abscess / etiology
Abdominal Pain / drug therapy,  etiology,  surgery*
Adult
Biliary Fistula / etiology
Female
Follow-Up Studies
Gastrointestinal Hemorrhage / etiology
Humans
Male
Middle Aged
Narcotics / therapeutic use
Pancreatectomy* / adverse effects
Pancreatic Fistula / etiology
Pancreaticojejunostomy* / adverse effects
Pancreatitis, Chronic / complications,  drug therapy,  surgery*
Surgical Wound Infection / etiology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Narcotics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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