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Frey procedure combined with biliary diversion in chronic pancreatitis
- Source :
- Surgery, Surgery, 2016, 160 (5), pp.1264--1270. ⟨10.1016/j.surg.2016.05.006⟩, Surgery, Elsevier, 2016, 160 (5), pp.1264--1270. ⟨10.1016/j.surg.2016.05.006⟩
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- International audience; Background. The Frey procedure has become the standard operative treatment in chronic painful pancreatitis. Biliary diversion could be combined when associated with common bile duct obstruction. The aim of the present study was to evaluate the impact of the type of biliary diversion combined with the Frey procedure on late morbidity. Methods. The data from consecutive patients undergoing the Frey procedure and having a minimum follow-up of 2 years were extracted from a maintained prospective database. The mean endpoint was the rate of secondary biliary stricture after the Frey procedure combined with biliary diversion (bilioenteric anastomosis or common bile duct reinsertion in the resection cavity). Results. Between 2006 and 2013, 55 consecutive patients underwent the Frey procedure. Twenty-nine patients had common bile duct obstruction (52.7%). The technique of biliary diversion resulted in bilioenteric anastomosis in 19 patients (65.5 %) and common bile duct reinsertion in 10 patients (34.5 %). Preoperative characteristics and early surgical outcomes were comparable. Pain control was similar. There was significantly more secondary biliary stricture after common bile duct reinsertion than after bilioenteric anastomosis (60% vs 11 %, P = .008). Conclusion. Combined bilioenteric anastomosis during the Frey procedure is an efficient technique for treating common bile duct obstruction that complicates chronic painful pancreatitis. Bilioenteric anastomosis was associated with less secondary biliary stricture than common bile duct reinsertion in the pancreatic resection cavity.
- Subjects :
- Male
Time Factors
Databases, Factual
Common Bile Duct Diseases
medicine.medical_treatment
030230 surgery
Severity of Illness Index
Cohort Studies
Postoperative Complications
0302 clinical medicine
Recurrence
Pain Measurement
Common bile duct
Middle Aged
Combined Modality Therapy
Survival Rate
Biliary Tract Surgical Procedures
Treatment Outcome
medicine.anatomical_structure
030220 oncology & carcinogenesis
Pancreatectomy
Female
France
cystic dystrophy
drainage
Adult
medicine.medical_specialty
common bile-duct
Operative Time
[SDV.CAN]Life Sciences [q-bio]/Cancer
Risk Assessment
Statistics, Nonparametric
03 medical and health sciences
[SDV.CAN] Life Sciences [q-bio]/Cancer
Pancreatitis, Chronic
medicine
Humans
definition
Resection Cavity
Pancreatitis, chronic
Survival rate
Aged
Retrospective Studies
heterotopic pancreas
business.industry
[SDV.MHEP.HEG]Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology
Retrospective cohort study
Length of Stay
head resection
medicine.disease
[SDV.MHEP.HEG] Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology
reinsertion
Surgery
surgery isgps
resection cavity
Pancreatitis
business
international study-group
Follow-Up Studies
Subjects
Details
- ISSN :
- 00396060
- Volume :
- 160
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....09f6a198785532c147d09a0c637fecc5