Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/73918
Type: Artigo de periódico
Title: Surgical treatment of chronic pancreatitis using Frey's procedure: a Brazilian 16-year single-centre experience
Author: Gestic, MA
Callejas-Neto, F
Chaim, EA
Utrini, MP
Cazzo, E
Pareja, JC
Abstract: Background: Surgical treatment of chronic pancreatitis is indicated for intractable pain. Frey's procedure is an accepted treatment for this disease. The aim of the present study was to describe a single-centre experience in the treatment of chronic pancreatitis using Frey's procedure. Methods: A retrospective analysis of 73 patients who underwent a Frey's procedure between 1991 to 2007 and had at least 1 year of follow-up. Demographics, indication for surgery, peri-operative complications and late outcomes were analysed. Results: The median age was 39.9 years. Seventy out of the 73 (95.8%) patients were male. The median pre-operative body mass index (BMI) was 19.1 kg/m2. All patients had abdominal pain, 34 (46.6%) of them daily and 13 (17.8%) weekly, with moderate or severe intensity in 98.6% (n = 72). The aetiology was secondary to alcohol in 70 patients (95.9%), with a median consumption of 278 g per day. The surgical morbidity rate was 28.7%; there were no deaths. Median post-operative follow-up was 77.0 months; 64 patients (91.4%) had complete pain relief and post-operative BMI was 22.4 kg/m2 (P < 0.001). All patients with pre-operative endocrine and exocrine insufficiencies showed no reversal of the situation. New onset insufficiencies appeared late. Conclusions: Frey's procedure was a safe and effective therapeutic option for the surgical treatment of patients with intractable pain caused by chronic pancreatitis.
Subject: chronic pancreatitis
Frey's procedure
pancreatojejunostomy
pancreatic surgery
exocrine insufficiency
endocrine insufficiency
secondary diabetes
abdominal pain
review
Country: EUA
Editor: Wiley-blackwell
Citation: Hpb. Wiley-blackwell, v. 13, n. 4, n. 263, n. 271, 2011.
Rights: fechado
Identifier DOI: 10.1111/j.1477-2574.2010.00281.x
Date Issue: 2011
Appears in Collections:Unicamp - Artigos e Outros Documentos

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