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New Indian Journal of Surgery

Volume  10, Issue 4, July - August 2019, Pages 433-439
 

Original Article

Study on Various Surgeries and their Outcome in Management of Chronic Pancreatitis

Raghu Sricharan P1, Mayank kumar Gurjar2, Supreeth Kumar Reddy K3, Viswanath Muppa4, Rakesh R5, Gurudutt P Varty6, Varun P7, Thirunavukkarasu S8

1-7Post Graduate, 8Professor and Head, Department of Surgical Gastroenterology, Narayana Medical College, Nellore, Andhra Pradesh 5

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10419.15

Abstract

Aim: To prospectively study the different surgeries and their outcome in management of Chronic pancreatitis. Method: Patients were investigated with transabdominal Ultrasound and then with contrast enhanced computerized tomography (CECT). Other investigations like Magnetic resonance cholangiopancreaticography (MRCP), Endoscopic Retrograde Cholangio Pancreaticography (ERCP) were used when appropriate. Patients underwent surgery for chronic pancreatitis. Results: Mean ± SD of Hospital stay for Freys is 9.7 ± 0.53 days, for Partington - Rochelle is 9.06 ± 0.6 days, for Begers is 11.66 ± 0.57 days and for Whipples is 14.4 ± 0.54 days. Mean ± SD of VAS postop 6 months of Freys is 1.73 ± 1.19, for Partington - Rochelle is 1.31 ± 0.47, for Begers is 1.33 ± 1.1 and for Whipples is 2.6 ± 1.9. Mean ± SD of VAS postop 1 year of Freys is 1.6 ± 1.3, for Partington - Rochelle is 1.12 ± 1.4, for Begers is 0.66 ± 0.57 and for Whipples is 2.6 ± 1.94. Mean ± SD SF 36 postop 1 year of Freys is 78.96 ± 14.6, for Partington - Rochelle is 81.1 ± 13.6, for Begers is 85.3 ± 7.76 and for Whipples is 85.6 ± 10.9. Conclusion: Operative time of Whipples procedure is greater than that of Begers, Freys and Partington Rochelle procedures in decreasing order. Blood loss of Whipples procedure is greater than that of Begers, Freys and Partington Rochelle procedures in decreasing order. Duration of hospital stay in whipples procedure is greater than that of Begers, Freys and Partington Rochelle procedures in decreasing order.

Keywords: Abdominal pain; Chronic pancreatitis; Magnetic resonance cholangiopancreaticography; Endoscopic Retrograde Cholangio Pancreaticography.


Corresponding Author : Mayank kumar Gurjar