November 12, 2014
Notes: Stevens, Tyler
Gastrointest Endosc Clin N Am. 2013 Oct;23(4):735-47. doi: 10.1016/j.giec.2013.06.001. Epub 2013 Jul 10.
Author Address: Department of Gastroenterology and Hepatology, Cleveland Clinic, 9500 Euclid Avenue, A31, Cleveland, OH 44195, USA. Electronic address: email@example.com.
Reference Type: Journal Article
Record Number: 4852Author: Sudo, T., Murakami, Y., Uemura, K., Hashimoto, Y., Kondo, N., Nakagawa, N. and Sueda, T.
Title: Short- and long-term results of lateral pancreaticojejunostomy for chronic pancreatitis: a retrospective Japanese single-center study
Journal: J Hepatobiliary Pancreat Sci
Short Title: Short- and long-term results of lateral pancreaticojejunostomy for chronic pancreatitis: a retrospective Japanese single-center study
Alternate Journal: Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982 (Electronic)
Accession Number: 24155150
Abstract: BACKGROUND: The study aim was to determine the short- and long-term results of lateral pancreaticojejunostomy for chronic pancreatitis at a single center in Japan. METHODS: The records of 64 consecutive patients were retrospectively reviewed. All patients underwent surgery at Hiroshima University Hospital between December 1996 and April 2013. Long-term follow-up was performed in 58 patients (91%) for a median period of 34 months. RESULTS: The 53 men (83%) and 11 women (17%) had a mean age of 55 years. The etiology of pancreatitis was chronic alcohol abuse in 44 patients (69%). The major indication for surgery was acute pancreatitis exacerbation (80%). There was no postoperative mortality. Postoperative morbidity occurred in 21 patients (33%), with severe complications requiring non-surgical intervention in four (6%). The percentage of pain-free patients after surgery was 91%, and further acute exacerbation was prevented in 95%. Four patients (7%) required subsequent surgery for pancreatitis-related complications. Of the patients that completed follow-up, 33 (57%) had diabetes mellitus, including 11 patients (19%) with new-onset diabetes; 30 patients (56%) developed pancreatic exocrine insufficiency. CONCLUSIONS: Full-length lateral pancreaticojejunostomy is safe, feasible, and effective for managing chronic pancreatitis. The technique prevents further exacerbations and maintains appropriate pancreatic endocrine and exocrine function.