Prospective evaluation of pain control and quality of life in patients with chronic pancreatitis following bilateral thoracoscopic splanchnicectomy
| Autor: | Jacek Jastrzębski, Małgorzata Malec-Milewska, Emilia Michalik, Adam Ciesielski, Wiesław Tarnowski, Maciej Guć |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Quality of life medicine.medical_specialty Abdominal pain Pancreatitis Alcoholic Article Pancreatitis Chronic Internal medicine Autonomic Denervation medicine Thoracoscopy Humans Prospective Studies Pancreatitis chronic Prospective cohort study medicine.diagnostic_test business.industry Splanchnic Nerves Middle Aged Hepatology medicine.disease Pain management Abdominal Pain Pain Intractable Surgery Anesthesia Pancreatitis Female medicine.symptom business Chronic pancreatitis Bilateral thoracoscopic splanchnicectomy Abdominal surgery |
| Zdroj: | Surgical Endoscopy |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-013-2937-0 |
| Popis: | Background Abdominal pain in chronic pancreatitis (CP) is the most common symptom with a highly unfavorable impact on the quality of life. It has been shown that bilateral thoracoscopic splanchnicectomy (BTS) may produce marked pain relief for the majority of patients. The aim of this study was to evaluate the effectiveness of BTS in pain control and quality-of-life improvement in patients with a severe form of CP. Methods Between April 2000 and April 2009, a total of 30 patients qualified for BTS due to CP-related pain. Their age ranged from 28 to 60 years. A 12-month follow-up period was planned for all the patients enrolled. To evaluate effectiveness of BTS, an 11-point Numeric Rating Scale (NRS) and the Quality of Life Questionnaire C-30 (QLQ-C30) in its basic form, developed by European Organization for Research and Treatment of Cancer, were used. An NRS value between 0 and 3 was considered a positive postoperative pain control result. Results The bilateral splanchnicectomy procedure was performed successfully in 27 of 30 qualified patients. A positive effect based on decreased pain (p |
| Databáze: | OpenAIRE |
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