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- Title
How much of the pancreatic head should we resect in Freyâs procedure?
- Authors
Shinichi Egawa; Fuyuhiko Motoi; Seiki Matsuno; Yu Katayose; Michiaki Unno
- Abstract
Abstract Purpose  Freyâs procedure for chronic pancreatitis (CP) has been minimized gradually in our institution in recent years. We compared the functional outcome of minimized Freyâs procedure with that of modified Freyâs procedure to establish how deeply and widely we should cut into the head of the pancreas. Methods  Between January 1992 and December 2006, we performed Freyâs procedure on 57 patients; as modi-fied Freyâs procedure from 1992 to 2001, then as minimized Freyâs procedure from 2002 to 2006. The patientsâ pre- and postoperative pain scores (PS), rates of readmission, body mass indexes (BMI), plasma glucose levels (PG), hemoglobin A1c, daily insulin use (DIU), and pancreatic function diagnostant were systematically reviewed and compared between the two groups. Results  Freyâs procedure resulted in a significant decrease in PS (P P = 0.01). There were no significant differences in the pre- and postoperative PG or DIU. The outcome of the late group was similar to that of the early group in terms of pain relief and preservation of endocrine function. There was no early postoperative mortality. Conclusions  These findings suggest that minimum Freyâs procedure is sufficient for resolving intractable pain and improving nutritional status in most patients with CP.
- Subjects
PANCREATIC surgery; SURGICAL excision; PANCREATITIS; POSTOPERATIVE pain; ANALGESIA; ENDOCRINE function tests
- Publication
Surgery Today, 2009, Vol 39, Issue 2, p120
- ISSN
0941-1291
- Publication type
Article