TY - JOUR
T1 - Long-period pancreatic stenting for painful chronic calcified pancreatitis required higher medical costs and frequent hospitalizations compared with surgery
AU - Hirota, Morihisa
AU - Asakura, Tohru
AU - Kanno, Atsushi
AU - Kikuta, Kazuhiro
AU - Kume, Kiyoshi
AU - Hamada, Shin
AU - Unno, Jun
AU - Ito, Hiromichi
AU - Ariga, Hiroyuki
AU - Masamune, Atsushi
AU - Satoh, Kennichi
AU - Motoi, Fuyuhiko
AU - Egawa, Shinichi
AU - Unno, Michiaki
AU - Shimosegawa, Tooru
PY - 2011/8
Y1 - 2011/8
N2 - Objectives: The aim of this study was to compare the benefits between endoscopic drainage and surgical drainage of the pancreatic duct for patients with chronic calcified pancreatitis. Methods: A total of 68 patients were classified into endoscopic (n = 34) or surgical (n = 34) treatment groups. Patients receiving endoscopic treatment were further divided into 2 subgroups: a short-period group, patients who could discontinue serial pancreatic stenting within 1 year (n = 19); and a long-period group, patients who needed pancreatic drainage by serial endoscopic stenting for more than 1 year (n = 15). The medical records of these patients were retrospectively analyzed. Results: Hospital stays, frequency of hospitalizations, and medical expense were similar between the short-period endoscopic treatment group and surgery group. On the other hand, patients in the long-period endoscopic treatment group required significantly longer hospital stays, more frequent hospitalizations, and had higher medical expenses than the short-period endoscopic treatment group as well as than the surgery group. Conclusions: Patients who underwent serial endoscopic stenting for more than 1 year showed no benefit compared with surgical treatment in terms of the frequency of hospital stays and medical costs.
AB - Objectives: The aim of this study was to compare the benefits between endoscopic drainage and surgical drainage of the pancreatic duct for patients with chronic calcified pancreatitis. Methods: A total of 68 patients were classified into endoscopic (n = 34) or surgical (n = 34) treatment groups. Patients receiving endoscopic treatment were further divided into 2 subgroups: a short-period group, patients who could discontinue serial pancreatic stenting within 1 year (n = 19); and a long-period group, patients who needed pancreatic drainage by serial endoscopic stenting for more than 1 year (n = 15). The medical records of these patients were retrospectively analyzed. Results: Hospital stays, frequency of hospitalizations, and medical expense were similar between the short-period endoscopic treatment group and surgery group. On the other hand, patients in the long-period endoscopic treatment group required significantly longer hospital stays, more frequent hospitalizations, and had higher medical expenses than the short-period endoscopic treatment group as well as than the surgery group. Conclusions: Patients who underwent serial endoscopic stenting for more than 1 year showed no benefit compared with surgical treatment in terms of the frequency of hospital stays and medical costs.
KW - ESWL
KW - chronic calcified pancreatitis
KW - chronic pancreatitis
KW - endoscopic stenting
KW - medical cost
UR - http://www.scopus.com/inward/record.url?scp=80051545335&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80051545335&partnerID=8YFLogxK
U2 - 10.1097/MPA.0b013e31821a9215
DO - 10.1097/MPA.0b013e31821a9215
M3 - Article
C2 - 21747315
AN - SCOPUS:80051545335
VL - 40
SP - 946
EP - 950
JO - Pancreas
JF - Pancreas
SN - 0885-3177
IS - 6
ER -