{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:55:41Z","timestamp":1792634141654,"version":"4.5.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Randomized trials have demonstrated the superiority of surgery over endoscopy in patients with symptomatic chronic pancreatitis. However, large international studies quantifying the impact of surgery on chronic pancreatitis are lacking. The aim of this study was to evaluate current practice across Europe regarding indications, surgical techniques, and outcomes of surgery for chronic pancreatitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective multicentre study of consecutive patients undergoing surgery for symptomatic chronic pancreatitis from 22 centres in 13 countries from 1 June 2021 to 30 November 2022 was conducted. The outcome of interest in patients with pain as an indication was the Izbicki pain score at 6-month follow-up, with complete pain relief defined as an Izbicki pain score \u226410 and partial pain relief defined as an Izbicki pain score &amp;gt;10, but with a &amp;gt;50% decrease compared with the baseline score. Quality of life was assessed using Pancreatitis Quality of Life Instrument (PANQOLI) and 12-Item Short-Form (SF-12) surveys. Predictors of pain relief were analysed using multivariable analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 207 patients underwent surgery (24.6% underwent surgical drainage procedures, 29.5% underwent duodenum-preserving head resections, and 45.9% underwent formal pancreatic resections). Before surgery, 48.8% used opioids and 51.2% had undergone prior endoscopic treatment. Major morbidity occurred in 14.0% and the 90-day mortality rate was 1.4%. Among 113 patients operated on for pain, the median Izbicki pain score decreased from 61.3 to 19.0 at 6 months (P &amp;lt; 0.001). Pain relief was achieved in 72.6% (43 patients reported complete pain relief and 39 patients reported partial pain relief). PANQOLI and SF-12 Physical Component Summary scores improved significantly (P &amp;lt; 0.001). Longer symptom duration (OR 0.95 (95% c.i. 0.90 to 1.00), P = 0.045) and use of opioids before surgery (OR 3.16 (95% c.i. 1.04 to 9.64), P = 0.043) predicted less pain relief.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Surgery for chronic pancreatitis across Europe was performed with low morbidity. Patients reported good pain relief and improvements in quality-of-life scores. Multidisciplinary consultation is recommended for all patients with chronic pancreatitis before undergoing any intervention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjs\/znaf068","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T06:29:27Z","timestamp":1745908167000},"source":"Crossref","is-referenced-by-count":13,"title":["Surgery for chronic pancreatitis across Europe (ESCOPA): prospective multicentre study"],"prefix":"10.1093","volume":"112","author":[{"given":"Charlotte L","family":"van Veldhuisen","sequence":"first","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Research and Development, St Antonius Hospital , Nieuwegein ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte A","family":"Leseman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fleur E M","family":"De Rijk","sequence":"additional","affiliation":[{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Gastroenterology and Hepatology, Erasmus University Medical Centre , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5825-7982","authenticated-orcid":false,"given":"Joana","family":"Marques-Antunes","sequence":"additional","affiliation":[{"name":"Department of Surgery, ULSEDV , Santa Maria da Feira ,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8891-2546","authenticated-orcid":false,"given":"Fabio","family":"Ausania","sequence":"additional","affiliation":[{"name":"Department of Hepatic, Pancreatic, Biliary, and Transplant Surgery, Clinic Hospital, University of Barcelona, IDIBAPS , Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orlin","family":"Belyaev","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Josef-Hospital, Ruhr-University Bochum , Bochum ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3575-5345","authenticated-orcid":false,"given":"Frederik","family":"Berrevoet","sequence":"additional","affiliation":[{"name":"General and HPB Surgery and Liver Transplantations, Ghent University Hospital , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3890-8105","authenticated-orcid":false,"given":"Marja A","family":"Boermeester","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo","family":"Boggi","sequence":"additional","affiliation":[{"name":"Division of General and Transplant Surgery, University of Pisa , Pisa ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7600-9429","authenticated-orcid":false,"given":"Stefan A","family":"Bouwense","sequence":"additional","affiliation":[{"name":"Department of Surgery, Maastricht University Medical Centre+ , Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco J","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Erasmus University Medical Centre , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9605-6831","authenticated-orcid":false,"given":"Olivier R","family":"Busch","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin C","family":"Conlon","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trinity College Dublin, Tallaght Hospital , Dublin ,","place":["Ireland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7811-2155","authenticated-orcid":false,"given":"Safi","family":"Dokmak","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, University of Paris Cit\u00e9, Centre de Recherche sur l'Inflammation, INSERM Unit\u00e9 Mixte de Recherche 1149 , Clichy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Falconi","sequence":"additional","affiliation":[{"name":"Pancreas Translational and Clinical Research Centre, IRCCS San Raffaele Scientific Institute, Universit\u00e0 Vita-Salute , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poya","family":"Ghorbani","sequence":"additional","affiliation":[{"name":"Department of Upper Abdominal Diseases, Karolinska University Hospital , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filip","family":"Gryspeerdt","sequence":"additional","affiliation":[{"name":"General and HPB Surgery and Liver Transplantations, Ghent University Hospital , Ghent ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roel","family":"Haen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Erasmus MC Cancer Institute , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arturan","family":"Ibrahimli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liv Bona Dea Hospital , Baku ,","place":["Azerbaijan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakob R","family":"Izbicki","sequence":"additional","affiliation":[{"name":"Department for General, Visceral and Thoracic Surgery, University Hospital Hamburg Eppendorf , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Krikke","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Medical Centre Groningen, University of Groningen , Groningen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arto","family":"Kokkola","sequence":"additional","affiliation":[{"name":"Department of Surgery, Helsinki University Hospital and University of Helsinki , Helsinki ,","place":["Finland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lancelot","family":"Marique","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery and Liver Transplantation, AP-HP, Beaujon Hospital, University of Paris Cit\u00e9, Centre de Recherche sur l'Inflammation, INSERM Unit\u00e9 Mixte de Recherche 1149 , Clichy, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3649-8504","authenticated-orcid":false,"given":"J Sven D","family":"Mieog","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Nappo","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University , Milan ,","place":["Italy"]},{"name":"Pancreatic Surgery Unit, Humanitas Clinical and Research Centre, IRCCS , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janis","family":"Pavulans","sequence":"additional","affiliation":[{"name":"Department of Surgery, Riga East Clinical University Hospital , Riga ,","place":["Latvia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haralds","family":"Plaudis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Riga East Clinical University Hospital , Riga ,","place":["Latvia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geert","family":"Roeyen","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Transplantation and Endocrine Surgery, Antwerp University Hospital and University of Antwerp , Edegem ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Scognamiglio","sequence":"additional","affiliation":[{"name":"Department for General, Visceral and Thoracic Surgery, University Hospital Hamburg Eppendorf , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1435-3651","authenticated-orcid":false,"given":"Domenico","family":"Tamburrino","sequence":"additional","affiliation":[{"name":"Pancreas Translational and Clinical Research Centre, IRCCS San Raffaele Scientific Institute, Universit\u00e0 Vita-Salute , Milan ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tore","family":"Tholfsen","sequence":"additional","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet , Oslo ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Toschka","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Josef-Hospital, Ruhr-University Bochum , Bochum ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6890-4829","authenticated-orcid":false,"given":"Faik G","family":"Uzunoglu","sequence":"additional","affiliation":[{"name":"Department for General, Visceral and Thoracic Surgery, University Hospital Hamburg Eppendorf , Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"van Dieren","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casper H J","family":"Van Eijck","sequence":"additional","affiliation":[{"name":"Department of Surgery, Erasmus MC Cancer Institute , Rotterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanin E","family":"van Hooft","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Leiden University Medical Centre , Leiden ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hjalmar C","family":"van Santvoort","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Antonius Hospital , Nieuwegein ,","place":["The Netherlands"]},{"name":"Department of Surgery, University Medical Centre Utrecht , Utrecht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert C","family":"Verdonk","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, St Antonius Hospital , Nieuwegein ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9969-019X","authenticated-orcid":false,"given":"Rogier P","family":"Voermans","sequence":"additional","affiliation":[{"name":"Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam UMC, University of Amsterdam , Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Gastroenterology and Hepatology, Amsterdam UMC , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Waage","sequence":"additional","affiliation":[{"name":"Department of Hepato-Pancreato-Biliary Surgery, Oslo University Hospital, Rikshospitalet , Oslo ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2650-9350","authenticated-orcid":false,"given":"Marc G","family":"Besselink","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam UMC, 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