Long-Period Pancreatic Stenting for Painful Chronic Calcified Pancreatitis Required Higher Medical Costs and Frequent Hospitalizations Compared With Surgery
Long-Period Pancreatic Stenting for Painful Chronic Calcified Pancreatitis Required Higher Medical Costs and Frequent Hospitalizations Compared With Surgery
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DOI：
10.1097/mpa.0b013e31821a9215
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发表时间：
2011-08-01
期刊：
影响因子：
2.9
通讯作者：
Shimosegawa, Tooru
中科院分区：
文献类型：
--
作者：
Hirota, Morihisa;Asakura, Tohru;Shimosegawa, Tooru
目的：比较内窥镜下胰管引流与手术引流治疗慢性钙化性胰腺炎的疗效。方法：68例慢性钙化性胰腺炎患者分为内窥镜治疗组和手术治疗组。将接受内窥镜治疗的患者进一步分为两组：短期组，可在1年内停止连续放置胰腺支架的患者(n=19)；长期组，需要连续放置支架引流1年以上的患者(n=15)。结果：短期内窥镜治疗组与手术组住院天数、住院次数、医疗费用相似。另一方面，长期内窥镜治疗组患者的住院时间、住院次数和医疗费用均明显高于短期内窥镜治疗组和手术治疗组。结论：与外科手术组相比，接受连续1年以上的内窥镜支架置入术的患者在住院次数和医疗费用方面没有明显的优势。
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.