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Type: Artigo de periódico
Title: Surgical Treatment Of Chronic Pancreatitis Using Frey's Procedure: A Brazilian 16-year Single-centre Experience.
Author: Gestic, Martinho Antonio
Callejas-Neto, Francisco
Chaim, Elinton Adami
Utrini, Murillo Pimentel
Cazzo, Everton
Pareja, Jose Carlos
Abstract: Surgical treatment of chronic pancreatitis is indicated for intractable pain. Frey's procedure is an accepted treatment for this disease. The aim of the present study was to describe a single-centre experience in the treatment of chronic pancreatitis using Frey's procedure. A retrospective analysis of 73 patients who underwent a Frey's procedure between 1991 to 2007 and had at least 1 year of follow-up. Demographics, indication for surgery, peri-operative complications and late outcomes were analysed. The median age was 39.9 years. Seventy out of the 73 (95.8%) patients were male. The median pre-operative body mass index (BMI) was 19.1 kg/m(2). All patients had abdominal pain, 34 (46.6%) of them daily and 13 (17.8%) weekly, with moderate or severe intensity in 98.6% (n= 72). The aetiology was secondary to alcohol in 70 patients (95.9%), with a median consumption of 278 g per day. The surgical morbidity rate was 28.7%; there were no deaths. Median post-operative follow-up was 77.0 months; 64 patients (91.4%) had complete pain relief and post-operative BMI was 22.4 kg/m(2) (P<0.001). All patients with pre-operative endocrine and exocrine insufficiencies showed no reversal of the situation. New onset insufficiencies appeared late. Frey's procedure was a safe and effective therapeutic option for the surgical treatment of patients with intractable pain caused by chronic pancreatitis.
Subject: Abdominal Pain
Middle Aged
Pain Measurement
Pain, Intractable
Pancreatitis, Chronic
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult
Citation: Hpb : The Official Journal Of The International Hepato Pancreato Biliary Association. v. 13, n. 4, p. 263-71, 2011-Apr.
Rights: fechado
Identifier DOI: 10.1111/j.1477-2574.2010.00281.x
Date Issue: 2011
Appears in Collections:Unicamp - Artigos e Outros Documentos

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