Current alternatives in the surgical treatment of chronic pancreatitis – a review article
Authors:
Jana Kaťuchová; Jozef Radoňak
Authors place of work:
Univerzita Pavla Josefa Šafaříka a UNLP Košice, Lekárska fakulta, I. chirurgická klinika
Published in the journal:
Čas. Lék. čes. 2011; 150: 378-383
Category:
Review Article
Summary
Chronic pancreatitis is characterized as an inflammatory process affecting the pancreas that causes progressive destruction of the gland and fibrosis, with subsequent endocrine and exocrine insufficiency. The most common cause of chronic pancreatitis is alcohol use in combination with nicotine. Manifestations are persistent or recurrent painful attacks. The only parameter of successful treatment of chronic pancreatitis is a relieve from long-lasting pain and improvement of the quality of life. Surgical treatment options include drainage operations on the pancreas, pancreatic resection or a combination of both. With optimal surgical treatment performed and good patient’s compliance, operations for chronic pancreatitis have low number of post-operative complications and relatively good long-term results. The continued consumption of alcohol and drugs bring about worse outcomes, sometimes even a complete failure of therapy. Chronic pancreatitis also has considerable socio-economic consequences. Due to the persisting pain and frequent hospitalization it can lead to long-term disability and early retirement predominantly in young patients.
Key words:
chronic pancreatitis, surgical treatment, review of literature.
Zdroje
1. Cameron JL, Riall TS, Coleman J, Belcher KA. One thousand consecutive pancreaticoduodenectomies. Ann Surg 2006; 224: 10–15.
2. Sakorafas GH, Tsiotou AG. Proximal pancreatectomy in the surgical management of chronic pancreatitis. J Clin Gastroenterol 2002; 34: 72–76.
3. Berney T, Rüdisühli T, Oberhlozer J, Caulfield A, Morel P. Long-term metabolic results after pancreatic resection for severe chronic pancreatitis. Arch Surg 2000; 135: 1106–1111.
4. Dítě P, Novotný I, Přecechtělová M, Růžička M. Karcinom pankreatu v terénu u chronické pankreatitidy. Čes a slov gastroent 1999; 53: 44–46.
5. Keith RG. Definition and classification of chronic pancreatitis. World J Surg 2003; 27: 1172–1174.
6. Šváb J. Chirurgické léčení chronické pankreatitidy. Praha: Grada 2003.
7. Ditě P, Ševčíková A, Novotný I, Dolina J. Autoimunitní chronická pankreatitida. Čes a slov gastroent a hepatol 2004; 58: 169–171.
8. Ammann RW, Mullhaupt B. Do the diagnostic criteria differ between alcoholic and nonalcoholic chronic pancreatitis? J Gastroenterol 2007; 42: 118–126.
9. Strate T, Knoefel WT, Yekebas E, Izbicki JR. Chronic pancreatitis: etiology, pathogenesis and treatment. Int J Colorectal Dis 2003; 18: 97–106.
10. Steer ML, Waxman I, Freedman S. Chronic pancreatitis. N Engl J Med 1995; 332: 1482–1490.
11. Sarner M. Treatment of pancreatic exocrine deficiency. World J Surg 2003; 27: 1192–1195.
12. Frey CF, Suzuki M, Isaji S. Treatment of chronic pancreatitis complicated by obstruction of the common bile duct or duodenum. World J Surg 1990; 14: 59–69.
13. Lankisch PG, Andren-Sandberg A. Standars for the diagnosis of chronic pancreatitis and for evaluation of treatment. Int J Pancreatol 1993; 14: 205–212.
14. Warshaw AL. Pain in chronic pancreatitis – parients, patience and impatient surgeon Gastroenterology 1984; 86: 987–989.
15. Saeger HD, Schwall G, Trede M. Standard Whipple in chronic pancreatitis. In: Beger HG, Buechler M, Malfertheimer P. Standards in pancreatic surgery. Berlin: Springer 1993; 385–391.
16. Nealon WH, Thompson JC. Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression. Ann Surg 1993; 217: 458–468.
17. Ihse I, Borch K, Larsson J. Chronic pancreatitis: results of operations for relief of pain. World J Surg 1990; 14: 53–58.
18. Frulloni L, Falconi M, Gabbrielli A, et al. Italian consensus guidelines for chronic pancreatitis. Digestive and Liver Disease 2010; 42: 381–406.
19. Partington PF, Rochelle REL. Modified Puestow for retrograde drainage of the pancreatic duct. Ann Surg 1960; 152: 1037–1043.
20. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater. Ann Surg 1935; 102: 763–779.
21. Whipple AO. The rationale of radical surgery for cancer of the pancreas and ampullary region. Ann Surg 1941; 114: 612–615.
22. Traverso, LW, Longmire WP. Preservation of the pylorus in pancreaticoduodenectomy. Surg Gynecol Obstet 1978; 146: 959–962.
23. Sledzianowski JF, Duffas JP, Muscari F, Suc B, Fourtanier F. Risk factors for mortality and intra-abdominal morbidity after distal pancreatectomy. Surgery 2005; 137: 180–185.
24. Sakorafas GH, Farnell MB, Nagomery DM, Sarr MG, Rowland CM. Pancreatoduodenectomy for chronic pancreatitis: Long-term results in 105 patients. Arch Surg 2000; 135: 517–524.
25. Lillemoe KD, Kaushal S, Cameron JL, Sohn TA, Pitt HA, Yeo CJ. Distal pancreatectomy: Indications and outcomes in 235 patients. Ann Surg 1999; 229: 693–700.
26. Beger HG, Witte C, Krautzberger W, Bittner R. Erfahrung mit einer das duodenum erhaltenden pankreaskopfresektion bei chronisher pankreatitis. Chirurg 1980; 51: 303–307.
27. Beger HG, Büchler M. Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head. World J Surg 1990; 14: 83–87.
28. Beger HG, Schlosser W, Friess HM, Büchler MW. Duodenum-preserving head resection in chronic panceratitis changes the natural course of the disease. Ann Surg 1999; 230: 512–523.
29. Izbicki JR, Bloechle C, Knoefel WT, Kuechler T, Binmoeller KF, Broelsch CE. Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis. Ann Surg 1995; 221: 350–358.
30. Strate T, Taherpour Z, Bloechle Ch, Mann O, Bruhn JP, Schneider C, Kuechler T, Yekebas E, Izbicki JR. Long-term follow-up of a randomized trial comparing the Beger and Frey procedures for patients suffering from chronic pancreatitis. Ann Surg 2005; 241: 591–598.
31. Izbicki JR, Bloeche C, Broering DC, Kuechler T, Broelsch CE. Longitudinal V-shaped excision of the ventral pancreas for small duct disease in severe chronic pancreatitis. Ann Surg 1998; 227: 213–219.
32. Gloor B, Fries H, Büchler M. A modifies technique of the Beger and Frey procedure in patients with chronic pancreatitis. Dig Surg 2001; 18: 21–25.
33. Sakorafas GH, Tsiotou AG. Proximal pancreatectomy in the surgical management of chronic pancreatitis. J Clin Gastroenterol 2002; 34: 72–76.
34. Schäfer M, Müllhaupt B, Clavien P. Evidance-based pancreatic haed resection for pancreatic cancer and chronic panceratitis. Ann Surg 2002; 236: 137–148.
35. Jimenez RE, Fernandez-del Castillo C, Rattner DW, Chang Y, Warshaw AL. Outcome of panceraticoduodenectomy with pylorus preservation or with antrectomy in the treatment of chronic pancreatitis. Ann Surg 2000; 231: 293–300.
36. Jimenez RE, Fernandez-del Castillo C, Rattner DW, Warshaw AL. Pylorus-preserving pancreaticoduodenectomy in the treatment of chronic pancreatitis. World J Surg 2003; 27: 1211–1216.
37. Murakami H, Yasue M. A vertical reconstruction after pylorus-preserving panceraticoduodenectomy. Am J Surg 2001; 181: 149–152.
38. Ohtsuka T, Yamaguchi K, Chijiwa K, Tanaka M. Postoperative panceratic exocrine function infuences body weight maintenance afetr pylorus-preserving panceratoduodenectomy. Am J Surg 2001; 184: 524–529.
39. Wagner M, Z@graggen K, Vagianos CE, Redaeli CA, Holzinger F, Sadowski C, Kulli C, Zimmermann H, Baer HU, Büchler MW. Pylorus-preserving total pancreatectomy. Dig Surg 2001; 18: 188–195.
40. Martin RF, Rossi RL, Leslie KA. Long-term results of pylorus-preserving pancreatoduodenectomy for chronic panceratitis. Arch Surg 1996; 131: 247–252.
41. Izbicki JR, Bloechle C, Broering DC, Knoefel WT, Kuechler T, Broelsch CE. Extended drainage versus resection in surgery for chronic pancreatitis. Ann Surg 1998; 228: 771–779.
42. Frey CF, Amikura K. Local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy in the management of patients with chronic pancreatitis. Ann Surg 1994; 220: 492–507.
43. Frey CF, Mayer KL. Comparison of local resection of the head of the pancreas combined with longitudinal pancreaticojejunostomy ( Frey procedure) and duodenum-preserving resection of the pancreatic head (Beger procedure). World J Surg 2003; 27: 1217–1230.
44. Strate T, Taherpour Z, Bloechle Ch, Mann O, Bruhn JP, Schneider C, Kuechler T, Yekebas E, Izbicki JR. Long-term follow-up of a randomized trial comparing the Beger and Frey procedures for patients suffering from chronic pancreatitis. Ann Surg 2005; 241: 591–598.
45. Farkas G, Leindler L, Daroczi M, Farkas G Jr. Long-term follow-up after organ-preserving pancreatic head resection in patients with chronic pancreatitis. J Gastrointest Surg 2008; 12: 308–312.
46. Klempa I, Spatny M, Menzel J, Baca I, Nustede R, Stoeckmann F, Arnold W. Pankreasfunktion und Lebensqualität nach Pankreaskopfresektion bei der chronischen Pankreatitis. Chirurg 1995; 66: 350–359.
47. Müller MW, Friess H, Martin DJ, Hinz U, Dahmen R, Büchler MW. Long-term follow-up of a randomized clinical trial comparing Beger with pylorus-preserving Whipple procedure for chronic pancreatitis. Br J Surg 2008; 95: 350–356.
48. Strate T, Bachmann K, Busch P, Mann O, Schneider C, Bruhn JP, Yekebas E, Kuechler T, Bloechle C, Izbicki JR. Resection vs drainage in treatment of chronic pancreatitis: long-term results of a randomized trial. Gastroenterology 2008; 134: 1406–1411.
49. Diener MK, Rahbari NN, Fischer L, Antes G, Buchler MW, Seiler CM. Duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for surgical treatment of chronic pancreatitis: a systematic review and meta-analysis. Ann Surg 2008; 247: 950–961.
50. Knoefel WT, Eisenberger CF, Strate T, Izbicki JR. Optimizing surgical therapy for chronic pancreatitis. Pancreatology 2002; 2: 379–385.
51. Yekebas EF, Bogoevski D, Honarpisheh H, Cataldegirmen G, Habermann CR, Seewald S, Link BC, Kaifi JT, Wolfram L, Mann O, Bubenheim M, Izbicki JR. Long-term follow-up in small duct chronic pancreatitis: a plea for extended drainage by “Vshaped excision” of the anterior aspect of the pancreas. Ann Surg 2006; 244: 940–946.
52. Mann, M. Chirurgická léčba zhoubných nádorů trávicího ústrojí. Kyjov: Tisk interpreter 1995.
Štítky
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistČlánok vyšiel v časopise
Journal of Czech Physicians
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Advances in the Treatment of Myasthenia Gravis on the Horizon
- Metamizole vs. Tramadol in Postoperative Analgesia
- Spasmolytic Effect of Metamizole
- What Effect Can Be Expected from Limosilactobacillus reuteri in Mucositis and Peri-Implantitis?
Najčítanejšie v tomto čísle
- Current alternatives in the surgical treatment of chronic pancreatitis – a review article
- International health statistics databases and available data
- Thyreopathy examination during pregnancy – results of pilot project
- National Database of Genotypes – ethical and legal issues