Surgery in Chronic Pancreatitis: Indication, Timing and Procedures

被引：28

作者：

Bouwense, Stefan A. W. ^{[1
]}

Kempeneers, Marinus A. ^{[4
]}

van Santvoort, Hjalmar C. ^{[2
,3
]}

Boermeester, Marja A. ^{[4
]}

van Goor, Harry ^{[1
]}

Besselink, Marc G. ^{[4
]}

机构：

[1] Radboud Univ Nijmegen Med Ctr, Dept Surg, Nijmegen, Netherlands

[2] St Antonius Hosp, Dept Surg, Nieuwegein, Netherlands

[3] Univ Med Ctr Utrecht, Dept Surg, Utrecht, Netherlands

[4] Univ Amsterdam, Amsterdam UMC, Amsterdam Gastroenterol & Metab, Dept Surg, Meibergdreef 9,POB 22660, NL-1100 DD Amsterdam, Netherlands

来源：

VISCERAL MEDICINE | 2019年 / 35卷 / 02期

关键词：

Chronic pancreatitis; Pain; Surgery; Timing of interventions; Early treatment; QUALITY-OF-LIFE; DUODENUM-PRESERVING RESECTION; PROSPECTIVE LONG-TERM; HEAD RESECTION; THORACOSCOPIC SPLANCHNICECTOMY; SURGICAL DRAINAGE; DUCT DRAINAGE; PAIN; MANAGEMENT; THERAPY;

D O I：

10.1159/000499612

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Chronic pancreatitis is a chronic inflammation of the pancreas with pain as its severest symptom and often an impaired quality of life. Surgical intervention plays an important role in the management of pain but is generally kept as a last resort when conservative measures and endoscopy have failed. However, in the last few years multiple studies suggested the superiority of (early) surgical treatment in chronic pancreatitis for multiple end points, including pain relief. In this paper we highlight the most recent high-quality evidence on surgical therapy in chronic pancreatitis and the rationale for early (surgical) intervention. (C) 2019 S. Karger AG, Basel

引用

页码：110 / 118

页数：9

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