Hospitalization, frequency of interventions, and quality of life after endoscopic, surgical, or conservative treatment in patients with chronic pancreatitis
| Autor: | Andreas Püspök, Martin Schindl, Arnulf Ferlitsch, Karoline Rutter, T. Sautner, Alfred Gangl, P. Götzinger |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality of life Pancreatitis Chronic medicine Humans Endoscopy Digestive System Retrospective Studies Medical Audit medicine.diagnostic_test business.industry Vascular surgery Middle Aged medicine.disease Surgery Cardiac surgery Endoscopy Hospitalization Treatment Outcome Cardiothoracic surgery Quality of Life Pancreatitis Intractable pain Female business Abdominal surgery |
| Zdroj: | World journal of surgery. 34(11) |
| ISSN: | 1432-2323 |
| Popis: | Patients with chronic pancreatitis usually have a long and debilitating history of disease with frequent hospital admissions, episodes of intractable pain and multiple interventions. The sequences of treatment at initial presentation, endoscopy, surgery, or conservative treatment may affect the time course and admissions needed for disease control, thereby determining quality of life and overall outcome. A total of 292 patients with initial endoscopic, surgical, or conservative pharmacological treatment were retrospectively analyzed regarding frequency of interventions, days in hospital, symptom-free intervals, morbidity, and mortality. Quality of life (QoL) at the latest follow-up was measured by two standardized quality of life questionnaires (EORTC C30 and PAN26). Endoscopic treatment was initially performed in 150 (51.4%) patients, whereas 99 (33.9%) underwent surgery and 43 (14.7%) patients were treated conservatively at their initial presentation. Patients who underwent surgery had a significantly shorter time in the hospital (25.3 ± 24.6, 34.4 ± 35.1, 61.1 ± 37.9; P |
| Databáze: | OpenAIRE |
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