Title: Chronic Pancreatitis with Pancreatic Calculi in Odisha, Surgical Procedures- A Study of 100 Cases
Authors: Dr Debananda Tudu, Dr Bana Bihari Mishra, Dr Kasturi Bhardwaj
DOI: https://dx.doi.org/10.18535/jmscr/v6i4.194
Abstract
Odisha is one of the capitals of Chronic Pancreatitis in India. The cause of chronic pancreatitis ranges from alcohol, smoking, hypercalcemia, idiopathic to autoimmune. Most of the patients with pancreatic calculi are males, alcoholic, diabetic, malnutrition with severe pain. CECT is the diagnostic investigation of choice. In the properly selected patient, operative management of pain due to chronic pancreatitis with calculi can be quite effective. Drainage procedure is the preferred surgery. In this study Frey’s verses Partington-Rolchelle procedure was compared in terms of mortality, morbidity and functional outcome in both the procedures.
References
- Partington PF, Rochelle REL. Modified Puestow procedure for retrograde drainage of the pancreatic duct. Ann Surg1960;152:1037–43.
- Frey CF, Smith GJ. Description and rationale of a new operation for chronic pancreatitis. Pancreas 1987;2:701–7.
- Lucas CE, McIntosh B, Paley D, Ledgerwood AM, Vlahos A.Surgical decompression of ductal obstruction in patients with chronic pancreatitis. Surgery 1999;126:790–7.
- BalakrishnanV, Unnikrishnan AG, ThomasVet al (2008) Chronic pancreatitis. A prospective nationwide study of 1,086 subjects from India. JOP 9(5):593–600.
- Brock C, Nielsen LM, Lelic D, Drewes AM (2013) Pathophysiology of chronic pancreatitis. World J Gastroenterol 19(42):7231–7240.
- Mullady DK, Yadav D, Amann STet al (2011) Type of pain, painassociated complications, quality of life, disability and resource utilisation in chronic pancreatitis: a prospective cohort study. Gut 60(1):77–84.
- Zuccaro P, Stevens T, Repas K et al (2009) Magnetic resonance cholangiopan-creatography reports in the evaluation of chronic pancreatitis: a need for quality improvement. Pancreatology 9(6): 764–769.
- Demir IE, Tieftrunk E, MaakM, Friess H, CeyhanGO(2011) Pain mechanisms in chronic pancreatitis: of a master and his fire.
- Langenbecks Arch Surg 396(2):151–160. D’Haese JG, Ceyhan GO, Demir IE, Tieftrunk E, Friess H (2014) Treatment options in painful chronic pancreatitis: a systematic review. HPB (Oxford) 16(6):512–521