Pancreaticoduodenectomy for the treatment of groove pancreatitis

John Levenick, John E. Sutton, Kerrington D. Smith, Stuart R. Gordon, Arief Suriawinata, Timothy B. Gardner

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background and Aim: Groove pancreatitis is a segmental form of chronic pancreatitis that can be treated with pan-creaticoduodenectomy (PD), although outcome studies for this approach are lacking. We performed an assessment of pain symptoms, need for opioids, and weight gain following PD for symptomatic groove pancreatitis. Methods: The study was a retrospective case series describing all patients with groove pancreatitis who underwent PD at our medical center. The primary outcome was the change in pain level and opioid use following PD. Results: Five patients underwent PD for treatment of groove pancreatitis. Patients' perception of pain, using a 10-point visual analog scale, improved after surgery from 5.0 to 0.2. Opioid analgesics, as measured by oral morphine equivalents, dropped from 77.6 to 0 mg daily, with all five patients being completely free of opioids post-operatively. Weight loss ceased in all five patients, with an overall mean weight gain of 15.4 pounds post-operatively. Conclusions: PD reduces pain and opioid analgesic use in groove pancreatitis. This intervention should be considered for patients with this condition.

Original languageEnglish (US)
Pages (from-to)1954-1958
Number of pages5
JournalDigestive Diseases and Sciences
Volume57
Issue number7
DOIs
StatePublished - Jul 1 2012

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Pancreaticoduodenectomy
Pancreatitis
Opioid Analgesics
Weight Gain
Therapeutics
Pain
Pain Perception
Symptom Assessment
Chronic Pancreatitis
Pain Measurement
Visual Analog Scale
Morphine
Weight Loss
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Physiology
  • Gastroenterology

Cite this

Levenick, J., Sutton, J. E., Smith, K. D., Gordon, S. R., Suriawinata, A., & Gardner, T. B. (2012). Pancreaticoduodenectomy for the treatment of groove pancreatitis. Digestive Diseases and Sciences, 57(7), 1954-1958. https://doi.org/10.1007/s10620-012-2214-4
Levenick, John ; Sutton, John E. ; Smith, Kerrington D. ; Gordon, Stuart R. ; Suriawinata, Arief ; Gardner, Timothy B. / Pancreaticoduodenectomy for the treatment of groove pancreatitis. In: Digestive Diseases and Sciences. 2012 ; Vol. 57, No. 7. pp. 1954-1958.
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Levenick, J, Sutton, JE, Smith, KD, Gordon, SR, Suriawinata, A & Gardner, TB 2012, 'Pancreaticoduodenectomy for the treatment of groove pancreatitis', Digestive Diseases and Sciences, vol. 57, no. 7, pp. 1954-1958. https://doi.org/10.1007/s10620-012-2214-4

Pancreaticoduodenectomy for the treatment of groove pancreatitis. / Levenick, John; Sutton, John E.; Smith, Kerrington D.; Gordon, Stuart R.; Suriawinata, Arief; Gardner, Timothy B.

In: Digestive Diseases and Sciences, Vol. 57, No. 7, 01.07.2012, p. 1954-1958.

Research output: Contribution to journalArticle

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AU - Sutton, John E.

AU - Smith, Kerrington D.

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AU - Gardner, Timothy B.

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N2 - Background and Aim: Groove pancreatitis is a segmental form of chronic pancreatitis that can be treated with pan-creaticoduodenectomy (PD), although outcome studies for this approach are lacking. We performed an assessment of pain symptoms, need for opioids, and weight gain following PD for symptomatic groove pancreatitis. Methods: The study was a retrospective case series describing all patients with groove pancreatitis who underwent PD at our medical center. The primary outcome was the change in pain level and opioid use following PD. Results: Five patients underwent PD for treatment of groove pancreatitis. Patients' perception of pain, using a 10-point visual analog scale, improved after surgery from 5.0 to 0.2. Opioid analgesics, as measured by oral morphine equivalents, dropped from 77.6 to 0 mg daily, with all five patients being completely free of opioids post-operatively. Weight loss ceased in all five patients, with an overall mean weight gain of 15.4 pounds post-operatively. Conclusions: PD reduces pain and opioid analgesic use in groove pancreatitis. This intervention should be considered for patients with this condition.

AB - Background and Aim: Groove pancreatitis is a segmental form of chronic pancreatitis that can be treated with pan-creaticoduodenectomy (PD), although outcome studies for this approach are lacking. We performed an assessment of pain symptoms, need for opioids, and weight gain following PD for symptomatic groove pancreatitis. Methods: The study was a retrospective case series describing all patients with groove pancreatitis who underwent PD at our medical center. The primary outcome was the change in pain level and opioid use following PD. Results: Five patients underwent PD for treatment of groove pancreatitis. Patients' perception of pain, using a 10-point visual analog scale, improved after surgery from 5.0 to 0.2. Opioid analgesics, as measured by oral morphine equivalents, dropped from 77.6 to 0 mg daily, with all five patients being completely free of opioids post-operatively. Weight loss ceased in all five patients, with an overall mean weight gain of 15.4 pounds post-operatively. Conclusions: PD reduces pain and opioid analgesic use in groove pancreatitis. This intervention should be considered for patients with this condition.

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