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[Duodenum-preserving pancreatic head resection: technique according to Beger, technique according to Frey and Berne modifications].
Chirurg. 2009 Jan; 80(1):22-7.C

Abstract

In chronic pancreatitis chronic pain is the most frequent indication for surgery. Because symptoms are often caused or maintained by an inflammatory mass in the head of the pancreas, resection procedures are superior to pure surgical drainage. The pancreatoduodenectomy (PD) and the duodenum-preserving pancreatic head resection (DPPHR) are safe and effective techniques resulting in long-lasting pain relief in about 80% of patients. Randomized controlled trials (RCTs) show initial functional advantages for the organ-preserving DPPHR compared to PD, but these advantages are lost during follow-up, most likely because neither operation prevents a progressive loss of exocrine and endocrine function. Nevertheless the less invasive DPPHR should be regarded as the procedure of choice. The technique of DPPHR described by Beger was modified by Frey to an extended drainage procedure with local head excision; the Berne modification offers a technically less demanding option with comparable extent of resection. While results in terms of pain relief, quality of life and organ function are comparable between the three DPPHR techniques, the technical aspect of a simpler procedure favors the Berne modification.

Authors+Show Affiliations

Klinik für Allgemeine, Viszerale und Transplantationschirurgie, Universität Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Review

Language

ger

PubMed ID

18820883

Citation

Strobel, O, et al. "[Duodenum-preserving Pancreatic Head Resection: Technique According to Beger, Technique According to Frey and Berne Modifications]." Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, vol. 80, no. 1, 2009, pp. 22-7.
Strobel O, Büchler MW, Werner J. [Duodenum-preserving pancreatic head resection: technique according to Beger, technique according to Frey and Berne modifications]. Chirurg. 2009;80(1):22-7.
Strobel, O., Büchler, M. W., & Werner, J. (2009). [Duodenum-preserving pancreatic head resection: technique according to Beger, technique according to Frey and Berne modifications]. Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen, 80(1), 22-7. https://doi.org/10.1007/s00104-008-1577-8
Strobel O, Büchler MW, Werner J. [Duodenum-preserving Pancreatic Head Resection: Technique According to Beger, Technique According to Frey and Berne Modifications]. Chirurg. 2009;80(1):22-7. PubMed PMID: 18820883.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Duodenum-preserving pancreatic head resection: technique according to Beger, technique according to Frey and Berne modifications]. AU - Strobel,O, AU - Büchler,M W, AU - Werner,J, PY - 2008/9/30/pubmed PY - 2009/10/29/medline PY - 2008/9/30/entrez SP - 22 EP - 7 JF - Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen JO - Chirurg VL - 80 IS - 1 N2 - In chronic pancreatitis chronic pain is the most frequent indication for surgery. Because symptoms are often caused or maintained by an inflammatory mass in the head of the pancreas, resection procedures are superior to pure surgical drainage. The pancreatoduodenectomy (PD) and the duodenum-preserving pancreatic head resection (DPPHR) are safe and effective techniques resulting in long-lasting pain relief in about 80% of patients. Randomized controlled trials (RCTs) show initial functional advantages for the organ-preserving DPPHR compared to PD, but these advantages are lost during follow-up, most likely because neither operation prevents a progressive loss of exocrine and endocrine function. Nevertheless the less invasive DPPHR should be regarded as the procedure of choice. The technique of DPPHR described by Beger was modified by Frey to an extended drainage procedure with local head excision; the Berne modification offers a technically less demanding option with comparable extent of resection. While results in terms of pain relief, quality of life and organ function are comparable between the three DPPHR techniques, the technical aspect of a simpler procedure favors the Berne modification. SN - 1433-0385 UR - https://www.unboundmedicine.com/medline/citation/18820883/[Duodenum_preserving_pancreatic_head_resection:_technique_according_to_Beger_technique_according_to_Frey_and_Berne_modifications]_ L2 - https://dx.doi.org/10.1007/s00104-008-1577-8 DB - PRIME DP - Unbound Medicine ER -