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Frey’s procedure for chronic pancreatitis improves the nutritional status of these patients

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Abstract

Purpose

The aim of surgical intervention for chronic pancreatitis (CP) is to relieve symptoms and improve quality of life. However, the precise effect of surgery on the nutritional status of CP patients, which is often impaired by exocrine and endocrine pancreatic dysfunction, has not been elucidated. We conducted this study to evaluate whether Frey’s procedure improves the nutritional status of CP patients.

Methods

The nutritional status of 35 patients who underwent Frey’s procedure for CP at our institute between April 2005 and December 2014, was assessed by the controlling nutritional status (CONUT) scoring before and 1 year after the surgery, and compared with that of seven CP patients who underwent pancreatoduodenectomy. The occurrence of postoperative hepatic steatosis was also monitored.

Results

The nutritional status improved after Frey’s procedure, but not after pancreatoduodenectomy. The median postoperative CONUT score after Frey’s procedure was significantly lower than the preoperative score (1.0 ± 0.5 vs. 4.0 ± 2.5; p < 0.001).

Conclusion

Frey’s procedure is superior to pancreatoduodenectomy for improving the nutritional status of CP patients.

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Authors and Affiliations

  1. Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan

    Hideaki Sato, Masaharu Ishida, Fuyuhiko Motoi, Naoaki Sakata, Takeshi Aoki, Katsuyoshi Kudoh, Hideo Ohtsuka, Masamichi Mizuma, Takanori Morikawa, Hiroki Hayashi, Kei Nakagawa, Takeshi Naitoh & Michiaki Unno

  2. Division of International Cooperation for Disaster Medicine, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan

    Shinich Egawa

Authors
  1. Hideaki Sato
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  2. Masaharu Ishida
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  3. Fuyuhiko Motoi
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  4. Naoaki Sakata
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  5. Takeshi Aoki
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  6. Katsuyoshi Kudoh
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  7. Hideo Ohtsuka
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  8. Masamichi Mizuma
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  9. Takanori Morikawa
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  10. Hiroki Hayashi
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  11. Kei Nakagawa
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  12. Takeshi Naitoh
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  13. Shinich Egawa
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  14. Michiaki Unno
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Corresponding author

Correspondence to Masaharu Ishida.

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Conflict of interest

Hideaki Sato and his co-authors have no conflicts of interest.

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Sato, H., Ishida, M., Motoi, F. et al. Frey’s procedure for chronic pancreatitis improves the nutritional status of these patients. Surg Today 48, 80–86 (2018). https://doi.org/10.1007/s00595-017-1557-z

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  • DOI: https://doi.org/10.1007/s00595-017-1557-z

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