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Papers of the Week


Papers: 18 Jan 2020 - 24 Jan 2020


Human Studies


2020 01 21


JAMA


323


3

Effect of Early Surgery vs Endoscopy-First Approach on Pain in Patients With Chronic Pancreatitis: The ESCAPE Randomized Clinical Trial.

Authors

Issa Y, Kempeneers MA, Bruno MJ, Fockens P, Poley J-W, Ahmed Ali U, Bollen TL, Busch OR, Dejong CH, van Duijvendijk P, van Dullemen HM, van Eijck CH, van Goor H, Hadithi M, Haveman J-W, Keulemans Y, Nieuwenhuijs VB, Poen AC, Rauws EA, Tan AC, et al.
JAMA. 2020 01 21; 323(3):237-247.
PMID: 31961419.

Abstract

For patients with painful chronic pancreatitis, surgical treatment is postponed until medical and endoscopic treatment have failed. Observational studies have suggested that earlier surgery could mitigate disease progression, providing better pain control and preserving pancreatic function.