Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
This was a non‐randomized prospective observational study done in chronic pancreatitis patients in our institute over two years. Perioperative parameters and outcome of various parenchyma preserving surgeries were observed and analyzed for a follow‐up period of six months. About 56% of the patients were in their prime age group of 31‐45 years, thereby limiting the socio‐economic status of the family. Males were predominant. (76% Vs24%). Ethanol was the primary etiological factor The pain was the primary mode of presentation About 28% of patients presented with loco‐regional complications of pancreatitis. Endocrine insufficiency was present in about 44% among that 20% of the patients had reasonable glycemic control in the immediate post‐op period. Exocrine insufficiency was present in 28% of the patients. Only 8 % of the population presented with both exocrine and endocrine deficiency. The results of the study in our institute, revealed the fact that the extended drainage procedure with coring out of tissue in the region of the head as proposed by Frey (resection and drainage) has high effectiveness in the treatment of pain, combined with little interference in the disease course (endocrine and exocrine function). Frey's procedure could be considered as the primary operation in patients with disabling pain as a result of CP because it is safer, more comfortable and presents less morbidity and zero mortality than alternative technique if it is performed in a high volume centre. The long term results of pain relief are more than 90%, and there may be a functional benefit in terms of preservation of pancreatic function in the long run.
How to cite this article:
J. Kishore Reddy and K. SivaPrasad Raju. Study of Etiopathogenesis and Outcome of Surgical Management of Chronic Pancreatitis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2020.234.238
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2020.234.238