Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 126] Demographic , Clinicopathological Profile & Surgical Outcome in Chronic Calcific Pancreatitis Patients in Eastern India (Odisha) : 7 Yrs Experience from a Teritary Care Teaching Hospital.
Dr. Swamy Rajesh HUDUGUR 1, Dr. Satyaprakash Ray CHUDHURY 1, Dr. Jyotirmay JENA 1, Dr. Sumit S MOHANTY 1
1 Department of Surgical Gastroenterology , IMS & SUM Hospital , INDIA
Background : Surgical intervention in the management of pain in Chronic pancreatitis(CP) usually sought late. Frey procedure has become standard surgical intervention because of its hybrid character, combining resection and drainage. Aims & objectives :To determine the short and medium-term outcomes of surgical treatment for CP & To Analyse the demographic and clinicopathological profiles of patients with chronic pancreatitis from eastern part of India.
Methods : Methods: Retrospective review of prospectively collected database over 7-year period who underwent surgery for CP between 2016-2023 at IMS & SUM Hospital.
Results : Of 110 patients 73(66.36%) were <40 years. Mean age is 36.42. Males were affected more 62.7%(M/F=1.8:1) Mc cause was Idiopathic 68(61.8%) .Mc presenting symptom was pain in103(93.63%). 44(40%) pts had diabetes . Mean MPD diameter is 9mm. Complications noted in 40(36.3%) of which 36 (90%) had > 3yrs index episode, Most common is Biliary stricture 18(16.6%). 73 underwent freys, LPJ in 27, Whipples in 10, Freys+Gj in 8, freys+HJ in 8 cases. 85 (77%) had wt gain - Avg Wt gain 4.8 kgs(p<0.0017) . 32(96.9%) pts has decrease insulin requirement- mean preop 34.5U, mean postop 18.68U(p<0008). Izbicki score preop-51.91, postop–19(p<0.013). 11(10%) were diagnosed with malignancy postsurgery. 9 showing Adenocarcinoma, 2 NET. Low albumin levels have been shown to be associated with increased complications , icu stay , increased bleed , DGE . (P<0.027)
Conclusions : Early surgery < 3yrs from index episode is associated with reduced pain scores , decrease insulin requirement and better preservation of pancreatic function and less complications.
Methods : Methods: Retrospective review of prospectively collected database over 7-year period who underwent surgery for CP between 2016-2023 at IMS & SUM Hospital.
Results : Of 110 patients 73(66.36%) were <40 years. Mean age is 36.42. Males were affected more 62.7%(M/F=1.8:1) Mc cause was Idiopathic 68(61.8%) .Mc presenting symptom was pain in103(93.63%). 44(40%) pts had diabetes . Mean MPD diameter is 9mm. Complications noted in 40(36.3%) of which 36 (90%) had > 3yrs index episode, Most common is Biliary stricture 18(16.6%). 73 underwent freys, LPJ in 27, Whipples in 10, Freys+Gj in 8, freys+HJ in 8 cases. 85 (77%) had wt gain - Avg Wt gain 4.8 kgs(p<0.0017) . 32(96.9%) pts has decrease insulin requirement- mean preop 34.5U, mean postop 18.68U(p<0008). Izbicki score preop-51.91, postop–19(p<0.013). 11(10%) were diagnosed with malignancy postsurgery. 9 showing Adenocarcinoma, 2 NET. Low albumin levels have been shown to be associated with increased complications , icu stay , increased bleed , DGE . (P<0.027)
Conclusions : Early surgery < 3yrs from index episode is associated with reduced pain scores , decrease insulin requirement and better preservation of pancreatic function and less complications.
SESSION
E-poster
E-Session 03/21 ALL DAY