Ashfaq Abdullah, Kolanu Nikhil Deep, Mohammed Mathani, Oliveira Souza Lima Sergio Rodrigo, Rehman Abdur, Shehryar Abdullah, Fathallah Nader A, Abdallah Shenouda, Abougendy Ismail S, Raza Ali
Surgery, Gujranwala Medical Teaching Hospital, Gujranwala, PAK.
Internal Medicine, China Medical University, Shenyang, CHN.
Cureus. 2024 Feb 10;16(2):e53989. doi: 10.7759/cureus.53989. eCollection 2024 Feb.
This systematic review evaluates the efficacy of surgical interventions in improving the quality of life for patients with chronic pancreatitis (CP). A thorough literature search, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, identified 11 studies that focused on patient-reported outcomes after surgical treatments, including pancreatic resections, drainage procedures, and duodenum-preserving head resections. The findings indicate that organ-preserving procedures, notably the Frey and Beger operations, significantly enhance pain control and overall quality of life while reducing analgesic dependency. This review provides crucial insights into the long-term efficacy and comparative benefits of different surgical approaches, highlighting the need for personalized surgical strategies in CP management. It emphasizes the necessity for standardized outcome measures and further comparative research to refine CP treatment protocols.
本系统评价评估了手术干预对改善慢性胰腺炎(CP)患者生活质量的疗效。按照系统评价和Meta分析的首选报告项目(PRISMA)指南进行了全面的文献检索,确定了11项关注手术治疗后患者报告结局的研究,包括胰腺切除术、引流手术和保留十二指肠的胰头切除术。研究结果表明,保留器官的手术,尤其是Frey手术和Beger手术,能显著加强疼痛控制、提高总体生活质量并减少镇痛药物依赖。本评价为不同手术方法的长期疗效和相对益处提供了关键见解,强调了在CP管理中采用个性化手术策略的必要性。它强调了标准化结局指标以及进一步进行比较研究以完善CP治疗方案的必要性。