Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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In the Event of Chronic Pancreatitis with Dilated Main Pancreatic Duct, a Prospective Study on Longitudinal Pancreatico Gastrostomy as a Drainage Procedure For Relief of Pain
Kaushik Mandal and Mohan Kumar Das
Page: 158-163 | Received 25 Nov 2023, Published online: 06 Jan 2024
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Abstract
The chronic inflammatory disease known as chronic pancreatitis (CP) is incurable, has a complex etiology, a wide range of presenting variations and is difficult to cure. Although many of these alterations are also seen in older patients who do not exhibit any symptoms, autopsy investigations have shown that up to 5% of people have symptoms of chronic inflammation, including duct ectasia, acinar atrophy, and fibrosis. These results are difficult to interpret. This investigation was prospective in nature. From March‐August 2021‐2022, patients having longitudinal pancreaticogastrostomy as a final pain management operation for chronic pancreatitis were the subjects of this study at Burdwan Medical College and Hospital. This investigation involved a total of sixty patients. The day prior to surgery the average NRS score was 9.8627±.8931. The first postoperative day’s mean NRS score was 4.1667±2.0532. On day three after surgery the average NRS score was 3.4270±1.6924. On discharge the average NRS score was.7667±1.1726. After two weeks the average NRS score was .7333±1.2885. After 1 month, the average NRS score was 1.2000±1.7301. After 3 months the mean NRS score was 1.2667±1.6802. The day before surgery the average WB faces pain score was 7.9333±1.0048. The 1 postoperative day's mean WB faces pain score was 4.1222±1.0180. On day 3 following surgery the average WB faces pain score was 3.0000±1.6757. At discharge, the average WB faces pain score was .8333±1.1576. After 2 weeks the average WB faces pain score was 7776±1.1130. After 1 month, the average WB faces pain score was 1.3011±1.8002. After 3 months the average WB faces pain score was 1.222±1.574. The patients' average operating time was 91.5000±5.5244 mins. Patients' average hospital stay (post‐operative days) was 6.2667±1.321 days. In the postoperative period, 48 patients (80% of the study population) did not develop any complication, whereas 12 patients (20% of the study population) developed complications in the early postoperative period (within 2 weeks of surgery). There were no late complications for any of the individuals. One patient out of the 6 who experienced problems following surgery (3.33% of the study population) had melaena (gastric hemorrhage) 2 patients (6.67% of the study population) had wound infection and 3 patients (10% of the study population) had a protracted ileus throughout the first postoperative days. Pancreatic fistula, intestinal fistula or any other kind of problem was not common. Longitudinal pancreatico‐gastomy, with short surgical time, short length of hospital stay following surgery and low postoperative complications, is appropriate for providing adequate pain management in chronic pancreatitis. Longitudinal Pancreatico‐Gastrostomy, Drainage Procedure, Chronic Pancreatitis and Pain Relief.
How to cite this article:
Kaushik Mandal and Mohan Kumar Das. In the Event of Chronic Pancreatitis with Dilated Main Pancreatic Duct, a Prospective Study on
Longitudinal Pancreatico Gastrostomy as a Drainage Procedure For Relief of Pain.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.158.163
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.158.163