Postoperative Effect of Diabetes Among Pancreatic Calculi Patient Treated by Puestow Procedure A Study of 25 Cases

Authors

  • Anharur Rahman Department of Surgery, Central Hospital Ltd, Dhanmondi Dhaka, Author https://orcid.org/0000-0001-9402-6321
  • A H M Tanvir Ahmed Department of Hepatobiliary Pancreatic Surgery & Liver Transplant Surgery, BIRDEM General Hospital, Bangladesh Author
  • Shantanu Biswas Department of Surgical Gastroenterology, Sheikh Russel Gastro Liver Institute, Dhaka, Bangladesh Author

DOI:

https://doi.org/10.70818/iarjmsr.2024.v05i05.0138

Keywords:

Pancreatic calculi, Puestow procedure, Diabetes Mellitus, Postoperative Effects, DM Control

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.

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Published

2024-11-14

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How to Cite

Rahman, A., Ahmed, A. H. M. T. ., & Biswas, S. . (2024). Postoperative Effect of Diabetes Among Pancreatic Calculi Patient Treated by Puestow Procedure A Study of 25 Cases. IAR Journal of Medicine and Surgery Research, 5(6), 50-58. https://doi.org/10.70818/iarjmsr.2024.v05i05.0138

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