{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:17Z","timestamp":1787169977614,"version":"build-2736575974"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>To mitigate the morbidity associated with open procedures for chronic pancreatitis (CP), there is a paradigm shift towards the laparoscopic approach. However, since these procedures are technically demanding, literature is still limited. We present our experience and long-term outcomes in the management of CP with laparoscopic surgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This is a retrospective observational study of patients who underwent a laparoscopic surgery for CP between 2009 and 2019. Pain scores using the Visual Analogue Scale (VAS) were compared pre- and postoperatively. In patients with diabetes, the pre- and post-operative insulin requirement was compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Data of 62 patients were analysed. The mean duration of follow-up was 69 (\u00b122) months. All patients had pain relief post-surgery. The relief of pain was sustained, with the median VAS scores being 1 at 3- and 5-year follow-up. There was a decrease in the median insulin requirement of diabetic patients, which was significant at 3-month and 1-year follow-up (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study demonstrates that laparoscopic surgical procedures offer long-term pain control with low morbidity. Effective ductal decompression may result in a short-term improvement of the endocrine function of the gland.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_282_22","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T09:03:22Z","timestamp":1695632602000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Long-term outcomes of laparoscopic longitudinal pancreatojejunostomy and modified Frey\u2019s procedure for patients of chronic pancreatitis: A 10-year experience"],"prefix":"10.4103","author":[{"given":"Sameer","family":"Rege","sequence":"first","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amay","family":"Banker","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sulay","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhaval","family":"Bhesania","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,20]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1002\/bjs5.50185","article-title":"Laparoscopic longitudinal pancreatojejunostomy and modified Frey's operation for chronic calcific pancreatitis","volume":"3","author":"Senthilnathan","year":"2019","journal-title":"BJS Open"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1136\/pmj.79.937.606","article-title":"Tropical chronic pancreatitis","volume":"79","author":"Barman","year":"2003","journal-title":"Postgrad Med J"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.dld.2004.10.007","article-title":"Quality of life in patients with chronic pancreatitis","volume":"37","author":"Pezzilli","year":"2005","journal-title":"Dig Liver Dis"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1053\/bega.2002.0311","article-title":"Hereditary pancreatitis: A model for inflammatory diseases of the pancreas","volume":"16","author":"Schneider","year":"2002","journal-title":"Best Pract Res Clin Gastroenterol"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1172\/JCI114128","article-title":"Secretory pancreatic stone protein messenger RNA. 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