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慢性胰腺炎的手术治疗后的长期症状缓解
Savannah R Smith1, Mohammad Raheel Jajja1, Juan M Sarmiento2
1Department of Surgery, Emory University, 1364 Clifton Road NE, H100, Atlanta, GA, 30322, USA.
American journal of surgery
|July 2, 2024
概括
使用弗雷或惠普尔手术治疗慢性胰腺炎的手术干预为大多数患者提供了持续的症状缓解. 这些程序在近壁胰腺疾病中有效,当非侵入性方法失败时.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 胰腺手术 胰腺手术
背景情况:
- 慢性胰腺炎的症状通常需要手术干预,当非手术治疗失败时.
- 弗雷和惠普尔手术是近壁胰腺疾病的已知手术选择.
- 关于这些程序的长期症状结果的数据有限.
研究的目的:
- 评估Frey和Whipple手术对影响近壁胰腺的慢性胰腺炎的症状结果.
- 为了确定手术干预后症状缓解的预测因素.
主要方法:
- 对为慢性胰腺炎进行手术的患者 (2005-2019) 的回顾性分析.
- 对手术前患者特征和术后结果的评估.
- 弗雷和惠普尔手术之间的结果比较.
主要成果:
- 140名患者接受了手术 (91名惠普尔,49名弗雷).
- 74%的患者在术后无症状,在2年的随访期间,有84%的患者没有症状.
- 沟性胰腺炎,没有延迟的胃空气,更短的住院预测症状的解决.
结论:
- 弗雷和惠普尔手术是治疗慢性胰腺炎的有效手术方法,涉及近壁胰腺.
- 这两种程序都为大多数患者提供了持续的症状缓解.
- 像沟性胰腺炎这样的特定因素会影响成功的结果.
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