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Pediatric Surgery International

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01-09-2020 | Wound Infection | Original Article

Short- and long-term outcome of surgery for chronic pancreatitis in children: a single surgeon experience

Authors: Sukanta Ray, Zuber Ansari, Dilip Kumar, Koustav Jana, Sujan Khamrui

Published in: Pediatric Surgery International | Issue 9/2020

Abstract

Objective

The aim of this study was to report on the short-and long-term outcomes of surgery for chronic pancreatitis (CP) in children.

Methods

All the children, who underwent surgery for CP between August 2007 and July 2019 in the Department of Surgical gastroenterology, Institute of Postgraduate Medical Education and Research, Kolkata, India were retrospectively reviewed.

Results

Of the total 54 patients, 33 (61%) were girls. The median age at operation was 16.5 years. The median duration between onset of pain and surgery was 36 months. 26% of patients were referred after failure of endotherapy. The most common indication for surgery was pain (94%). Surgery performed included modified Puestow (n = 26), Frey (n = 25), and Izbicki procedures. Twelve postoperative complications developed in ten (18.5%) patients. Most common complication was wound infection. Pancreatic leak developed in four (7.4%) patients (type A = 3, type B = 1). Median postoperative hospital stay was 8 days. There was no in-hospital mortality. Over a median follow-up of 48 months, 83% of patients had complete pain control. Weight gain was achieved in 77% of patients. New-onset diabetes and exocrine insufficiency developed in 4 and 14% of patients, respectively.

Conclusions

Surgery is safe with fairly acceptable perioperative complications and good long-term pain control.

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Title: Short- and long-term outcome of surgery for chronic pancreatitis in children: a single surgeon experience
Authors: Sukanta Ray
Zuber Ansari
Dilip Kumar
Koustav Jana
Sujan Khamrui
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Keywords: Wound Infection
Computed Tomography
Pancreaticojejunostomy
Computed Tomography
Chronic Pancreatitis
Pancreatic Surgery
Pancreatic Surgery
Published in: Pediatric Surgery International / Issue 9/2020
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04691-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Short- and long-term outcome of surgery for chronic pancreatitis in children: a single surgeon experience

Abstract

Objective

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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