Resection vs drainage in treatment of chronic pancreatitis: long-term results of a randomized trial.
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Resection vs drainage in treatment of chronic pancreatitis: long-term results of a randomized trial. / Strate, Tim; Bachmann, Kai; Busch, Philipp; Mann, Oliver; Schneider, Claus G.; Bruhn, Jens P; Yekebas, Emre F.; Kuechler, Thomas; Blöchle, Christian; Izbicki, Jakob R.
in: GASTROENTEROLOGY, Jahrgang 134, Nr. 5, 5, 2008, S. 1406-1411.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Resection vs drainage in treatment of chronic pancreatitis: long-term results of a randomized trial.
AU - Strate, Tim
AU - Bachmann, Kai
AU - Busch, Philipp
AU - Mann, Oliver
AU - Schneider, Claus G.
AU - Bruhn, Jens P
AU - Yekebas, Emre F.
AU - Kuechler, Thomas
AU - Blöchle, Christian
AU - Izbicki, Jakob R.
PY - 2008
Y1 - 2008
N2 - BACKGROUND ; AIMS: Tailored organ-sparing procedures have been shown to alleviate pain and are potentially superior in terms of preservation of endocrine and exocrine function as compared with standard resection (Whipple) for chronic pancreatitis with inflammatory pancreatic head tumor. Long-term results comparing these 2 procedures have not been published so far. The aim of this study was to report on long-term results of a randomized trial comparing a classical resective procedure (pylorus-preserving Whipple) with an extended drainage procedure (Frey) for chronic pancreatitis. METHODS: All patients who participated in a previously published randomized trial on the perioperative course comparing both procedures were contacted with a standardized, validated, quality of life and pain questionnaire. Additionally, patients were seen in the outpatient clinic to assess endocrine and exocrine pancreatic function by an oral glucose tolerance test and fecal chymotrypsin test. RESULTS: There were no differences between both groups regarding quality of life, pain control, or other somatic parameters after a median of 7 years postoperatively. Correlations among continuous alcohol consumption, endocrine or exocrine pancreatic function, and pain were not found. CONCLUSIONS: Both procedures provide adequate pain relief and quality of life after long-term follow-up with no differences regarding exocrine and endocrine function. However, short-term results favor the organ-sparing procedure.
AB - BACKGROUND ; AIMS: Tailored organ-sparing procedures have been shown to alleviate pain and are potentially superior in terms of preservation of endocrine and exocrine function as compared with standard resection (Whipple) for chronic pancreatitis with inflammatory pancreatic head tumor. Long-term results comparing these 2 procedures have not been published so far. The aim of this study was to report on long-term results of a randomized trial comparing a classical resective procedure (pylorus-preserving Whipple) with an extended drainage procedure (Frey) for chronic pancreatitis. METHODS: All patients who participated in a previously published randomized trial on the perioperative course comparing both procedures were contacted with a standardized, validated, quality of life and pain questionnaire. Additionally, patients were seen in the outpatient clinic to assess endocrine and exocrine pancreatic function by an oral glucose tolerance test and fecal chymotrypsin test. RESULTS: There were no differences between both groups regarding quality of life, pain control, or other somatic parameters after a median of 7 years postoperatively. Correlations among continuous alcohol consumption, endocrine or exocrine pancreatic function, and pain were not found. CONCLUSIONS: Both procedures provide adequate pain relief and quality of life after long-term follow-up with no differences regarding exocrine and endocrine function. However, short-term results favor the organ-sparing procedure.
M3 - SCORING: Zeitschriftenaufsatz
VL - 134
SP - 1406
EP - 1411
JO - GASTROENTEROLOGY
JF - GASTROENTEROLOGY
SN - 0016-5085
IS - 5
M1 - 5
ER -