[Surgical options for chronic pancreatitis].

Area of Science:

• Gastroenterology and Hepatology
• Surgical Oncology
• Pancreatic Surgery

Background:

• Chronic pancreatitis presents with diverse anatomical and morphological changes.
• Surgical intervention is often necessary for symptom management and disease control.

Purpose of the Study:

• To evaluate surgical strategies for chronic pancreatitis based on specific anatomical and morphological alterations.
• To correlate surgical choices with patient outcomes, focusing on pain relief and pancreatic function preservation.

Main Methods:

• A retrospective review of 295 chronic pancreatitis patients (2010-2014) was conducted.
• Data included medical records, imaging features, surgical procedures, and follow-up information.
• Surgical options encompassed various pancreatic resection and drainage techniques.

Main Results:

• Follow-up data from 267 patients (average 40 months) showed high pain remission rates across different morphological types (96.6%–97.0%).
• Specific procedures like longitudinal pancreaticojejunostomy and pancreatic head resections were employed.
• A small percentage (9.6%) experienced elevated blood glucose levels post-surgery.

Conclusions:

• Tailoring surgical procedures to the specific pathological changes in chronic pancreatitis is crucial.
• Optimizing surgical selection can lead to significant pain reduction and pancreatic tissue preservation.
• Further research may focus on long-term functional outcomes and minimizing metabolic complications.