| Table of Contents |  |
|
Original Article
| ||||||
| Head coring for chronic calcific pancreatitis without pancreatic head mass: Short-term outcome analysis | ||||||
| Rajamahendran Rajendran1, Anbalagan Amudhan2, Prabhakaran R2, Benet Duraisamy2, Rajendran Vellaisamy3, Kannan D4, Chandramohan SM5 | ||||||
|
1Post Graduate in Surgical Gastroenterology, Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India.
2Assistant Professor in Surgical Gastroenterology, Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India. 3Post graduate in Surgical Gastroenterology, Institute of Surgical Gastroenterology, Rajiv Gandhi Government General hospital, Chennai, Tamil Nadu, India. 4Professor of Surgical Gastroenterology, Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India. 5Director of Surgical Gastroenterology, Institute of Surgical Gastroenterology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India. | ||||||
| ||||||
|
[HTML Abstract]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] |
| How to cite this article |
| R Rajamahendran, Amudhan A, Prabhakaran R, Duraisamy B, Vellaisamy R, Kannan D, Chandramohan SM. Head coring for chronic calcific pancreatitis without pancreatic head mass: Short-term outcome analysis. Int J Hepatobiliary Pancreat Dis 2014;4:62–69. |
|
Abstract
|
|
Aims:
Intolerable abdominal pain is the main cause which brings the patients with chronic calcific pancreatitis to the surgeon. As pancreatic head is the pacemaker of pain in chronic pancreatitis coring out the head even in the absence of inflammatory head mass provides better pain relief.
Materials and Methods: This retrospective cum prospective study analyzed the outcome of Frey procedure in chronic calcific pancreatitis patients without inflammatory head mass. Methods. For the period between 2010 and 2013, 140 patients with chronic pancreatitis underwent Frey procedure for intractable abdominal pain. Of them 80 patients without pancreatic head mass were included in the study. The mean follow-up was six months. Using visual analogue scale score pain was analyzed both preoperatively and postoperatively. Endocrine and exocrine insufficiencies are also analyzed. Results: There was no 30-day mortality. Statistical analysis showed significant improvement of pain score. The improvement of pain score in the patients without head mass is comparable to the patients with head mass for whom Frey procedure was done. Though there is improvement in endocrine and exocrine insufficiency they are not statistically significant as per chi-square test. Conclusion: This study shows that even in the patients with no pancreatic head mass, the head coring pancreatico jejunostomy procedure described by Frey provides a better quality of life and better pain relief with acceptable morbidity and nil mortality. Head coring procedure can be therefore strongly recommended for pain relief even in pancreatitis without head mass. | |
|
Keywords:
Chronic calcific pancreatitis, Frey procedure, Head coring, Non-head mass CCP, Pain score, Pancreatico Jejunostomy
| |
|
[HTML Abstract]
[PDF Full Text]
|
|
Author Contributions:
Rajamahendran Rajendran – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Anbalagan Amudhan – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Prabhakaran R. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Benet Duraisamy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Rajendran Vellaisamy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Kannan D. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Chandramohan S.M. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2014 Rajamahendran Rajendran et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|
|
About The Authors
| |||
| |||
| |||
| |||
| |||
| |||
| |||
| |||
