Back to Search
Start Over
Surgical treatment of chronic pancreatitis in young patients
- Source :
- Journal of Huazhong University of Science and Technology [Medical Sciences]. 34:701-705
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- The main treatment strategies for chronic pancreatitis in young patients include therapeutic endoscopic retrograde cholangio-pancreatography (ERCP) intervention and surgical intervention. Therapeutic ERCP intervention is performed much more extensively for its minimally invasive nature, but a part of patients are referred to surgery at last. Historical and follow-up data of 21 young patients with chronic pancreatitis undergoing duodenum-preserving total pancreatic head resection were analyzed to evaluate the outcomes of therapeutic ERCP intervention and surgical intervention in this study. The surgical complications of repeated therapeutic ERCP intervention and surgical intervention were 38% and 19% respectively. During the first therapeutic ERCP intervention to surgical intervention, 2 patients developed diabetes, 5 patients developed steatorrhea, and 5 patients developed pancreatic type B pain. During the follow-up of surgical intervention, 1 new case of diabetes occurred, 1 case of steatorrhea recovered, and 4 cases of pancreatic type B pain were completely relieved. In a part of young patients with chronic pancreatitis, surgical intervention was more effective than therapeutic ERCP intervention on delaying the progression of the disease and relieving the symptoms.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Biomedical Engineering
Disease
Biochemistry
Pancreatic head
Resection
Biomaterials
Young Adult
Pancreatectomy
Postoperative Complications
Pancreatitis, Chronic
Diabetes mellitus
Intervention (counseling)
Diabetes Mellitus
Genetics
medicine
Humans
Surgical treatment
Earth-Surface Processes
Cholangiopancreatography, Endoscopic Retrograde
Pain, Postoperative
business.industry
General surgery
medicine.disease
Steatorrhea
digestive system diseases
Surgery
Treatment Outcome
Pancreatitis
Female
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 19931352 and 16720733
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Journal of Huazhong University of Science and Technology [Medical Sciences]
- Accession number :
- edsair.doi.dedup.....b474a1b5530d959c2e226d9af8c6db46