Postoperative Effect of Diabetes Among Pancreatic Calculi Patient Treated by Puestow Procedure A Study of 25 Cases
Main Article Content
Abstract
Background: Pancreatic calculi, characterized by calcified deposits in the pancreatic duct, often coexist with diabetes mellitus, complicating clinical management. The Puestow procedure, a surgical intervention for pancreatic calculi, impacts diabetes outcomes, necessitating comprehensive exploration. Objective: Aimed to assess the postoperative effects of diabetes in pancreatic calculi patients undergoing the Puestow procedure. Methods: A cohort of 25 case was conducted at Central Hospital Ltd Dhanmondi Dhaka, Bangladesh, from 2022 to 2023, underwent meticulous analysis post-Puestow procedure. DM control, insulin requirements, postoperative complications, and surgical outcomes were systematically assessed. Percentage analysis was employed to quantify results. Results: Post-Puestow, 80% of patients exhibited improved DM control. Overall, 86.67% in the Puestow arm showed positive responses, with 26.67% achieving complete response and 60% partial response. Surgical outcomes indicated a shorter recovery time in the Puestow arm (49 days) compared to 142 days in the control arm, demonstrating better patient compliance. Statistical analysis revealed a significant correlation between diabetes status and postoperative outcomes (p < 0.05). Conclusions: The Puestow procedure demonstrated favorable postoperative effects on diabetes among pancreatic calculi patients. Improved DM control and reduced insulin requirements underscore its potential impact. Mild complications and a moderate recovery period emphasize the procedure's feasibility. Tailored postoperative care considering diabetes status enhances overall outcomes.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
References
Forsmark, C. E. (2008). The early diagnosis of chronic pancreatitis. Clinical Gastroenterology and Hepatology, 6(12), 1291-1293.
Peery, A. F., Crockett, S. D., Barritt, A. S., Dellon, E. S., Eluri, S., Gangarosa, L. M., ... & Sandler, R. S. (2015). Burden of gastrointestinal, liver, and pancreatic diseases in the United States. Gastroenterology, 149(7), 1731-1741.
on the Diagnosis, E. C. (2003). Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care, 26, S5-S20.
Ewald, N., Kaufmann, C., Raspe, A., Kloer, H. U., Bretzel, R. G., & Hardt, P. D. (2012). Prevalence of diabetes mellitus secondary to pancreatic diseases (type 3c). Diabetes/metabolism research and reviews, 28(4), 338-342.
Hart, P. A., & Conwell, D. L. (2016). Challenges and updates in the management of exocrine pancreatic insufficiency. Pancreas, 45(1), 1-4.
Wilcox, C. M., Yadav, D., Ye, T., Gardner, T. B., Gelrud, A., Sandhu, B. S., ... & Anderson, M. A. (2015). Chronic pancreatitis pain pattern and severity are independent of abdominal imaging findings. Clinical Gastroenterology and Hepatology, 13(3), 552-560.
Varadarajulu, S., Wilcox, C. M., & Christein, J. D. (2011). EUS-guided therapy for management of peripancreatic fluid collections after distal pancreatectomy in 20 consecutive patients. Gastrointestinal endoscopy, 74(2), 418-423.
PUESTOW, C. B., & GILLESBY, W. J. (1958). Retrograde surgical drainage of pancreas for chronic relapsing pancreatitis. AMA archives of surgery, 76(6), 898-907.
Khaled, Y. S., Ammori, M. B., & Ammori, B. J. (2011). Laparoscopic lateral pancreaticojejunostomy for chronic pancreatitis: a case report and review of the literature. Surgical Laparoscopy Endoscopy & Percutaneous Techniques, 21(1), e36-e40.
Bang, J. Y., Hawes, R., Bartolucci, A., & Varadarajulu, S. (2015). Efficacy of metal and plastic stents for transmural drainage of pancreatic fluid collections: a systematic review. Digestive Endoscopy, 27(4), 486-498.
Samson, S. L., Vellanki, P., Blonde, L., Christofides, E. A., Galindo, R. J., Hirsch, I. B., ... & Valencia, W. M. (2023). American Association of Clinical Endocrinology consensus statement: comprehensive Type 2 diabetes management algorithm–2023 update. Endocrine Practice, 29(5), 305-340.
Deitel, M., Gagner, M., Erickson, A. L., & Crosby, R. D. (2011). Third International Summit: current status of sleeve gastrectomy. Surgery for obesity and related diseases, 7(6), 749-759.
Arterburn, D. E., Bogart, A., Sherwood, N. E., Sidney, S., Coleman, K. J., Haneuse, S., ... & Selby, J. (2013). A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass. Obesity surgery, 23, 93-102.
Schauer, P. R., Burguera, B., Ikramuddin, S., Cottam, D., Gourash, W., Hamad, G., ... & Kelley, D. (2003). Effect of laparoscopic Roux-en Y gastric bypass on type 2 diabetes mellitus. Annals of surgery, 238(4), 467.
Haque, M. A., Islam, M. I., & Hasan, H. (2024). Successful Surgical Creation and Management of an Arteriovenous Fistula: A Case Report. Asia Pacific Journal of Surgical Advances, 1(1), 34-38.
Islam, M. I. ., Hannan, U. S. ., Islam, M. I. ., Hoque, S., Parven, R. ., & Haque, M. A. . (2024). Preoperative administration of low-dose Nalbuphine along with Diazepam effectively alleviates post-delivery distress during C-Section. Asia Pacific Journal of Medical Innovations, 1(1), 5-13.
Islam, M. S., Abdullah, K. S. M., Sadat, C. M. A., & Islam, M. I. (2024). Surgical Innovations and Outcomes in the Management of Rectal Cancer: A Departmental Study on Advanced Techniques and Postoperative Care. Asia Pacific Journal of Cancer Research, 1(1), 14-22.
Islam, M. K. (2020). Proportion of Post-Operative Wound Infection and Associated Factors of Patients Attending General Surgery Wards in Rajshahi Medical College Hospital. Asia Pacific Journal of Nursing Research, 1(1), 21-28.
Biswas, B., Hasan, S. I. P., Hasan, T. I., Hasan, S. H., Hasan, S. S., Day, L. R., ... & Hasan, T. I. S. (2024). Perception and Cognition of COVID-19 and Its Dietary Implications: A prospective Study in Bangladesh. Bangladesh Journal of Food and Nutrition, 1(1), 26-34.
Hussain, M. D., Rahman, M. H., & Ali, N. M. (2024). Investigation of Gauss-Seidel Method for Load Flow Analysis in Smart Grids. Sch J Eng Tech, 5, 169-178.
Rahman, M. H., Rahman, S. S., & Akter, S. (2024). Enhancing Nutritional Security in Bangladesh: Innovations and Challenges. Bangladesh Journal of Food and Nutrition, 1(1), 01-03.
Scott, W. R., & Batterham, R. L. (2011). Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: understanding weight loss and improvements in type 2 diabetes after bariatric surgery. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 301(1), R15-R27.