Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1011 |
Resumo: | The surgical approach to chronic pancreatitis reveals a diverse range of strategies, each with its own merits and considerations. Total Pancreatectomy with Islet Autotransplantation (TPIAT) emerges as a promising option, aiming to provide effective pain relief and enhance the quality of life, especially in the early stages of the disease. The need for a careful multidisciplinary assessment is emphasized, involving specialists in pancreatology, surgery, endocrinology, pain management, and social assistance. Various surgical procedures, such as the combination of drainage and resection, demonstrate efficacy in pain relief in specific cases, while early surgery, including minimally invasive approaches, stands out in the long-term control of chronic pancreatitis. However, technical challenges persist, and innovative surgical strategies, such as the use of robotic platforms, are being explored to improve outcomes. The comparative analysis between endoscopic and surgical interventions underscores the superiority of the latter, particularly the hybrid approach, in pain relief. The safety and efficacy of laparoscopic approaches, coupled with specific techniques like Frey's, highlight the crucial role of innovative surgery in managing chronic pancreatitis. The choice between surgical and endoscopic approaches requires careful evaluation, considering the patient's clinical response, specific pancreatic anatomy, and the availability of technical resources. Furthermore, the importance of preoperative, intraoperative, and postoperative considerations stands out in the literature, significantly influencing outcomes. Strategies to optimize long-term results, such as insulin administration and pancreatic enzyme therapy, are essential. In summary, the surgical approach to chronic pancreatitis is a dynamic area of research, continually seeking to enhance techniques and strategies to improve the quality of life for patients. |
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Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review Revisão de Abordagens Cirúrgicas para Pancreatite Crônica: Uma Revisão Abrangente Pancreatite; Abordagens Cirúrgicas; Revisão Abrangente.Pancreatitis; Surgical Approaches; Comprehensive Review.The surgical approach to chronic pancreatitis reveals a diverse range of strategies, each with its own merits and considerations. Total Pancreatectomy with Islet Autotransplantation (TPIAT) emerges as a promising option, aiming to provide effective pain relief and enhance the quality of life, especially in the early stages of the disease. The need for a careful multidisciplinary assessment is emphasized, involving specialists in pancreatology, surgery, endocrinology, pain management, and social assistance. Various surgical procedures, such as the combination of drainage and resection, demonstrate efficacy in pain relief in specific cases, while early surgery, including minimally invasive approaches, stands out in the long-term control of chronic pancreatitis. However, technical challenges persist, and innovative surgical strategies, such as the use of robotic platforms, are being explored to improve outcomes. The comparative analysis between endoscopic and surgical interventions underscores the superiority of the latter, particularly the hybrid approach, in pain relief. The safety and efficacy of laparoscopic approaches, coupled with specific techniques like Frey's, highlight the crucial role of innovative surgery in managing chronic pancreatitis. The choice between surgical and endoscopic approaches requires careful evaluation, considering the patient's clinical response, specific pancreatic anatomy, and the availability of technical resources. Furthermore, the importance of preoperative, intraoperative, and postoperative considerations stands out in the literature, significantly influencing outcomes. Strategies to optimize long-term results, such as insulin administration and pancreatic enzyme therapy, are essential. In summary, the surgical approach to chronic pancreatitis is a dynamic area of research, continually seeking to enhance techniques and strategies to improve the quality of life for patients.A abordagem cirúrgica para a pancreatite crônica revela uma gama diversificada de estratégias, cada uma com seus próprios méritos e considerações. A Pancreatectomia Total com Autoenxerto de Ilhotas (TPIAT) surge como uma opção promissora, buscando proporcionar alívio eficaz da dor e melhorar a qualidade de vida, especialmente em estágios iniciais da doença. A necessidade de uma avaliação multidisciplinar cuidadosa é ressaltada, envolvendo especialistas em pancreatologia, cirurgia, endocrinologia, manejo da dor e assistência social. Diferentes procedimentos cirúrgicos, como a combinação de drenagem e ressecção, mostram eficácia no alívio da dor em casos específicos, enquanto a cirurgia precoce, incluindo abordagens minimamente invasivas, destaca-se no controle a longo prazo da pancreatite crônica. No entanto, desafios técnicos persistem, e estratégias cirúrgicas inovadoras, como a utilização de plataformas robóticas, estão sendo exploradas para aprimorar os resultados. A análise comparativa entre intervenções endoscópicas e cirúrgicas sublinha a superioridade desta última, particularmente a abordagem híbrida, no alívio da dor. A segurança e eficácia das abordagens laparoscópicas, aliadas a técnicas específicas, como a de Frey, evidenciam o papel crucial da cirurgia inovadora na gestão da pancreatite crônica. A escolha entre abordagens cirúrgicas e endoscópicas requer uma avaliação cuidadosa, considerando a resposta clínica do paciente, a anatomia pancreática específica e a disponibilidade de recursos técnicos. Além disso, a importância de considerações pré, intra e pós-operatórias destaca-se na literatura, influenciando significativamente os resultados. Estratégias para otimizar resultados a longo prazo, como administração de insulina e terapia enzimática pancreática, são essenciais. Em suma, a abordagem cirúrgica na pancreatite crônica é uma área dinâmica de pesquisa, buscando constantemente aprimorar técnicas e estratégias para melhorar a qualidade de vida dos pacientes. Specialized Dentistry Group2023-12-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/101110.36557/2674-8169.2023v5n5p4813-4827Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4813-4827Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4813-4827Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4813-48272674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1011/1165Copyright (c) 2023 Rafaela Valéria De Castro Monteiro, Anna Carolina Fock Tasca , Lívia Mara Magalhães , Anna Luiza Saldanha Peçanha , Fabiana Rose Martinshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessDe Castro Monteiro, Rafaela Valéria Fock Tasca , Anna CarolinaMara Magalhães , LíviaSaldanha Peçanha , Anna LuizaRose Martins, Fabiana2023-12-07T21:12:44Zoai:ojs.bjihs.emnuvens.com.br:article/1011Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-07T21:12:44Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review Revisão de Abordagens Cirúrgicas para Pancreatite Crônica: Uma Revisão Abrangente |
title |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
spellingShingle |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review De Castro Monteiro, Rafaela Valéria Pancreatite; Abordagens Cirúrgicas; Revisão Abrangente. Pancreatitis; Surgical Approaches; Comprehensive Review. |
title_short |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
title_full |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
title_fullStr |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
title_full_unstemmed |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
title_sort |
Surgical Approaches Review for Chronic Pancreatitis: A Comprehensive Review |
author |
De Castro Monteiro, Rafaela Valéria |
author_facet |
De Castro Monteiro, Rafaela Valéria Fock Tasca , Anna Carolina Mara Magalhães , Lívia Saldanha Peçanha , Anna Luiza Rose Martins, Fabiana |
author_role |
author |
author2 |
Fock Tasca , Anna Carolina Mara Magalhães , Lívia Saldanha Peçanha , Anna Luiza Rose Martins, Fabiana |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
De Castro Monteiro, Rafaela Valéria Fock Tasca , Anna Carolina Mara Magalhães , Lívia Saldanha Peçanha , Anna Luiza Rose Martins, Fabiana |
dc.subject.por.fl_str_mv |
Pancreatite; Abordagens Cirúrgicas; Revisão Abrangente. Pancreatitis; Surgical Approaches; Comprehensive Review. |
topic |
Pancreatite; Abordagens Cirúrgicas; Revisão Abrangente. Pancreatitis; Surgical Approaches; Comprehensive Review. |
description |
The surgical approach to chronic pancreatitis reveals a diverse range of strategies, each with its own merits and considerations. Total Pancreatectomy with Islet Autotransplantation (TPIAT) emerges as a promising option, aiming to provide effective pain relief and enhance the quality of life, especially in the early stages of the disease. The need for a careful multidisciplinary assessment is emphasized, involving specialists in pancreatology, surgery, endocrinology, pain management, and social assistance. Various surgical procedures, such as the combination of drainage and resection, demonstrate efficacy in pain relief in specific cases, while early surgery, including minimally invasive approaches, stands out in the long-term control of chronic pancreatitis. However, technical challenges persist, and innovative surgical strategies, such as the use of robotic platforms, are being explored to improve outcomes. The comparative analysis between endoscopic and surgical interventions underscores the superiority of the latter, particularly the hybrid approach, in pain relief. The safety and efficacy of laparoscopic approaches, coupled with specific techniques like Frey's, highlight the crucial role of innovative surgery in managing chronic pancreatitis. The choice between surgical and endoscopic approaches requires careful evaluation, considering the patient's clinical response, specific pancreatic anatomy, and the availability of technical resources. Furthermore, the importance of preoperative, intraoperative, and postoperative considerations stands out in the literature, significantly influencing outcomes. Strategies to optimize long-term results, such as insulin administration and pancreatic enzyme therapy, are essential. In summary, the surgical approach to chronic pancreatitis is a dynamic area of research, continually seeking to enhance techniques and strategies to improve the quality of life for patients. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-12-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1011 10.36557/2674-8169.2023v5n5p4813-4827 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1011 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p4813-4827 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1011/1165 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4813-4827 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4813-4827 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4813-4827 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798442063790080 |