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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTUSTUMI, Francisco
dc.contributor.authorCOSTA, Thiago Nogueira
dc.contributor.authorPENTEADO, Sonia
dc.contributor.authorBACCHELLA, Telesforo
dc.contributor.authorCECCONELLO, Ivan
dc.date.accessioned2019-09-23T14:18:08Z-
dc.date.available2019-09-23T14:18:08Z-
dc.date.issued2019
dc.identifier.citationCHIRURGIA, v.114, n.3, p.369-375, 2019
dc.identifier.issn1221-9118
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33490-
dc.description.abstractBackground: Chronic pancreatitis is a progressive loss of exocrine and endocrine pancreatic function. Surgical procedures are required in cases of intractable pain, biliary obstruction or intestinal obstruction, complications from pseudocysts, or pancreatic fistulae. Objective. To assess the outcomes after surgical management of chronic pancreatitis, in a long-term follow-up. Methods: Patients that underwent surgical management of chronic pancreatitis,from 2006 to 2017, were reviewed. Demographics and complications of the procedures were recorded. Visual analogue pain scale was used for pain control evaluation. The 12-Item Short-Form Health Survey questionnaire was used for quality of life assessment. Results: Sixty-five patients were included in the study. Mean follow-up was 60.26 months. Twenty patients underwent lateral pancreatojejunostomy, 22 to Roux-en-Y cystojejunostomy, 7 to transgastric cyst-gastrostomy,1 to Frey procedure, 4 to hepaticojejunostomy, 1 to Frey procedure and hepaticojejunostomy, 1 to lateral pancreatojejunostomy and cyst-gastrostomy, 7 to lateral pancreatojejunostomy and hepaticojejunostomy and 2 to cystojejunostomy and hepaticojejunostomy. No cases of perioperative deaths were recorded. A Pancreatic fistula was found in 5 cases, and all of them followed non-operative management. Of the 65 patients included in the study, 39 answered the questionnaires. Mean scores on SF-12, physical and mental scales were respectively 42.72 +/- 10.76 and 49.84 +/- 11.75. Conclusion: Surgical management of chronic pancreatitis is safe, with low mortality and morbidity rates. These procedures are effective in assuaging pain and in providing good quality of life.eng
dc.language.isoeng
dc.publisherEDITURA CELSIUSeng
dc.relation.ispartofChirurgia
dc.rightsrestrictedAccesseng
dc.subjectchronic pancreatitiseng
dc.subjectchronic paineng
dc.subjectpancreatic ductseng
dc.subjectpancreatojejunostomyeng
dc.subjectquality of lifeeng
dc.subject.otherquality-of-lifeeng
dc.subject.othermorphological-changeseng
dc.subject.otherrecurrent acuteeng
dc.subject.otherdrainageeng
dc.subject.otherpancreaticoduodenectomyeng
dc.subject.otherpancreaticojejunostomyeng
dc.subject.otherthrombosiseng
dc.subject.otherdiagnosiseng
dc.subject.otherresectioneng
dc.subject.otherremnanteng
dc.titleLong Term Follow-up Results of Surgical Management of Chronic Pancreatitiseng
dc.typearticleeng
dc.rights.holderCopyright EDITURA CELSIUSeng
dc.identifier.doi10.21614/chirurgia.114.3.369
dc.identifier.pmid31264575
dc.subject.wosSurgeryeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.description.beginpage369
hcfmusp.description.endpage375
hcfmusp.description.issue3
hcfmusp.description.volume114
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000483362200007
hcfmusp.origem.id2-s2.0-85069267728
hcfmusp.publisher.cityILFOV-BUCHARESTeng
hcfmusp.publisher.countryROMANIAeng
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dc.description.indexPubMedeng
dc.identifier.eissn1842-368X
hcfmusp.citation.scopus2-
hcfmusp.scopus.lastupdate2022-06-10-
Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MGT
Departamento de Gastroenterologia - FM/MGT

Artigos e Materiais de Revistas Científicas - HC/ICESP
Instituto do Câncer do Estado de São Paulo - HC/ICESP

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/35
LIM/35 - Laboratório de Nutrição e Cirurgia Metabólica do Aparelho Digestivo

Artigos e Materiais de Revistas Científicas - LIM/37
LIM/37 - Laboratório de Transplante e Cirurgia de Fígado


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