COMPARATIVE ASSESSMENT OF VARIOUS TYPES OF PANCREATIC HEAD RESECTION IN SUBJECTS WITH CHRONIC PANCREATITIS

Abstract

Background: Resections are usually performed and are the choice of surgical treatment in subjects with chronic pancreatitis
with inflammatory head enlargement. Various types of surgical resections being performed include the Whipple procedure,
Berne, Frey, and Beger procedures.
Aim: The present study aimed to assess various types of pancreatic head resection in subjects with chronic pancreatitis about
pancreato-jejunal and biliary anastomosis.
Methods: The study included 460 subjects who underwent pancreatic head resections at the Institute. Preoperative, intra-
operative, and postoperative data were gathered and compared. Late results were assessed using the questionnaire. Data
gathered were analyzed statistically to formulate the results.
Results: The study results showed that Frey and Berne procedures were the most advantageous procedures concerning total
hospital stay, postoperative ICU stay, transfusion need, and surgery length. Early morbidity rates were significantly better
following the Frey procedure after the Whipple procedure. No difference was seen between surgical procedures concerning
the mortality rates and re-surgery in study subjects. Despite continuous nicotine and alcohol abuse, quality of life was
acceptable post-surgery.
Conclusions: The present study concludes that both Berne and Frey surgeries are preferable for pancreatic head resection
owing to better early outcomes reported. However, the former technique is technically the shortest and simplest intervention
being done. In both procedures, modification of pancreatojejunal anastomosis is done, and in cholestasis cases, extra-
pancreatic biliodigestive anastomosis is recommended owing to the advantageous experiences.