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- W2895086176 abstract "Introduction: Troublesome, recurrent pain is a standard indication for surgery in chronic calcific pancreatitis. We investigated the role of surgery in alleviating the pain and in altering the natural history of the disease. Methods: Retrospective analysis was done on patients operated between January 2013 and June 2017, with at least a six month follow up. They were assessed for pain relief, status of diabetes mellitus and steatorrhea, weight gain and any late complications. Results: A total of 116 patients were included. Frey's procedure was performed in 111 patients, 5 patients underwent Whipple procedure. Median follow up was 48 weeks. Six patients had bleeding complications which required re-exploration. Over sixty percent of patients were completely pain free, about thirty percent required occasional pain killers, while five patients needed an additional procedure. The status of diabetes or steatorrhea was unchanged in 22 patients, 12.5 percent people developed new onset diabetes while almost half the patients developed steatorrhea in the post-operative period. About fifty five percent patients had a median weight gain of 3 kg while the rest lost about 4 kg. Four patients developed obstructive jaundice in the late post-operative period (due to biliary stricture) which was manged with hepatico-jejunostomy in three and Whipple procedure in one patient. Two patients had internal herniation (more than four years later). Conclusions: Surgery for chronic calcific pancreatitis is effective in reducing pain. However, the clinicians and patients should be aware that there is no change in the progressive nature of the disease despite the operation." @default.
- W2895086176 created "2018-10-12" @default.
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- W2895086176 date "2018-09-01" @default.
- W2895086176 modified "2023-10-17" @default.
- W2895086176 title "Outcomes following surgery for chronic calcific pancreatitis" @default.
- W2895086176 doi "https://doi.org/10.1016/j.hpb.2018.06.2122" @default.
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