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DOI: 10.1002/bjs.7042
¤ OpenAccess: Bronze
This work has “Bronze” OA status. This means it is free to read on the publisher landing page, but without any identifiable license.

Pain relief after Frey's procedure for chronic pancreatitis

Sanjay Singh Negi,Anurag Singh,Adarsh Chaudhary

Medicine
Pancreatitis
Surgery
2010
Abstract Background Few studies have addressed long-term pain relief after Frey's procedure (local head resection with lateral pancreaticojejunostomy, LR-LPJ) for chronic pancreatitis. This retrospective study evaluated pain control using a validated score and risk factors associated with failure to achieve complete pain relief following LR-LPJ. Methods Sixty of 134 patients with chronic pancreatitis underwent LR-LPJ and were evaluated prospectively using the Izbicki pain score before surgery, and 1, 2, 5 and 7 years later. Analysis was on an intention-to-treat basis and predictors of complete pain relief were identified by multivariable analysis. Results After a median follow-up of 6·4 years, the median pain score was reduced from 46·4 to 10·0 (P < 0·001) with partial or complete pain relief in 75 per cent of patients, and a significant reduction in median number of episodes requiring hospitalization (from 4 to 0; P < 0·001). Preoperative use of opiate medication (odds ratio (OR) 30·14; P = 0·015), continuous pattern of pain (OR 22·65; P = 0·025) and occurrence of postoperative complications (OR 10·52; P = 0·030) were significant predictors of failure to achieve complete pain relief after surgery. Conclusion Frey's procedure leads to significant and sustained long-term pain relief in patients with chronic pancreatitis. Patients should be referred for surgery before opiates are needed to relieve pain.
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    Pain relief after Frey's procedure for chronic pancreatitis” is a paper by Sanjay Singh Negi Anurag Singh Adarsh Chaudhary published in 2010. It has an Open Access status of “bronze”. You can read and download a PDF Full Text of this paper here.