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Review
. 2018 Sep;34(5):317-321.
doi: 10.1097/MOG.0000000000000460.

Surgical treatment of pain in chronic pancreatitis

Mariya E Skube  1 , Greg J Beilman
Affiliations
Review

Surgical treatment of pain in chronic pancreatitis

Mariya E Skube et al. Curr Opin Gastroenterol. 2018 Sep.

Abstract

Purpose of review: Patients suffering from chronic pancreatitis often require surgical intervention to treat their disease. This review discusses surgical options as well as reviews current trends and research in the operative management of chronic pancreatitis.

Recent findings: Relevant current topics in the field include the appropriate timing of surgery as well as the relative benefits of various procedures, particularly duodenum-preserving pancreatic head resection versus pancreaticoduodenectomy. Multiple studies have found that surgery earlier in the disease course results in improved outcomes. Furthermore, the recent literature reports similar outcomes of duodenum-preserving pancreatic head resection when compared with pancreaticoduodenectomy.

Summary: It is important for treating clinicians to be well versed on the interplay of medical, endoscopic, and surgical strategies to carefully tailor a patient's treatment plan. Each patient warrants careful consideration and an individualized approach in collaboration with multidisciplinary colleagues.

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Conflict of interest statement

Conflicts of interest

There are no conflicts of interest.

Figures

FIGURE 1.
FIGURE 1.
Guide to surgical decision-making for the management of chronic pancreatitis. These are general guidelines only. Every patient warrants a tailored approach to care with multidisciplinary input.
See this image and copyright information in PMC

References

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      This study reports on similar outcomes from the original Frey versus the modified Frey (more limited posterior resection) at a single institution.

    1. Beilman G Pancreatitis: is TPIAT the answer for treatment of chronic pancreatitis? Nat Rev Gastroenterol Hepatol 2014; 11:144–145. - PubMed