| Theme | A Trend in the Practice of Pancreatitis | |
|---|---|---|
| Title | Long-term Results of Surgical Operations for Chronic Pancreatitis Pain Control | |
| Publish Date | 2008/09 | |
| Author | Yoshifumi Takeyama | Department of Surgery, Kinki University School of Medicine |
| [ Summary ] | Previous reports concerning long-term outcomes for surgical intervention to control intractable pain due to chronic pancreatitis are summarized. The ratio of pain relief provided by conventional longitudinal pancreatico-jejunostomies was around 80 %, that achieved through Frey or Beger operations was reported to be about 90 %. This indicates that interventions for pancreatic head treatment are effective in some patients. Recent results of RCTs comparing endoscopic pancreatic stenting with surgical pancreatico-jejunostomies clearly showed the superiority of surgical operations in providing long-term effects. In patients with dilated ducts, surgical drainage operations should be selected as the standard therapy for treatment of chronic pancreatitis. | |