Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2021; 9(35): 10927-10936
Published online Dec 16, 2021. doi: 10.12998/wjcc.v9.i35.10927
Surgery for chronic pancreatitis in Finland is rare but seems to produce good long-term results
Mikael Parhiala, Juhani Sand, Johanna Laukkarinen
Mikael Parhiala, Johanna Laukkarinen, Faculty of Medicine and Health Technology, Tampere University, Tampere 33521, Finland
Juhani Sand, Johanna Laukkarinen, Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere 33520, Finland
Author contributions: Sand J and Laukkarinen J designed the study; Parhiala M contributed to the permits process, data collection and analysis; all authors contributed to the writing of the manuscript.
Supported by Medical Research Fund of Pirkanmaa Hospital District, No. 9X024; and Sigrid Jusélius Foundation, No. MS424.
Institutional review board statement: The study was approved by the Ethics Committee of Tampere University Hospital, Finland (ETL code R16153). The data from the HILMO register was provided by the Finnish National Institute for Health and Welfare with a license/permission (THL/1854/5.05.00/2012).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare. All co-authors have seen and agree with the contents of the manuscript and there is no financial interest to report. We certify that the submission is original work.
Data sharing statement: We are not give permission to share data because the data is being used to future studies and patient data is not allowed to be shared because of the EU Regulation on the protection of personal data.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Johanna Laukkarinen, MD, PhD, Professor, Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Elämänaukio, Kuntokatu 2, Tampere 33520, Finland. johanna.laukkarinen@pshp.fi
Received: January 16, 2021
Peer-review started: January 16, 2021
First decision: May 4, 2021
Revised: May 19, 2021
Accepted: October 27, 2021
Article in press: October 27, 2021
Published online: December 16, 2021
Core Tip

Core Tip: Our study provides valuable insight on the current state of chronic pancreatitis (CP) surgery for chronic pain in Finland. We included all the CP patients who underwent surgery for CP symptoms during 2000-2008 in Finland. We found that surgery is rare. We estimate that 0.6%-0.8% of CP patients undergo surgery for CP pain, which produces good long-term effects. Opiate usage was reduced after surgery. Most of the patients had undergone endoscopic procedures before surgery. Complications after CP surgery were rare.