Quality of Life After Bilateral Thoracoscopic Splanchnicectomy

Howard, Thomas J.; Swofford, John; Wagner, David G.; Sherman, Stuart; Lehman, Glen A.

doi:10.1016/s1091-255x(02)00123-3

Cited by 140 publications

(162 citation statements)

References 24 publications

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“…In our study involving Italian patients with chronic pancreatitis [20], neither the type of pancreatic surgery nor endoscopic therapy were able to substantially modify the various physical and mental domains investigated by the SF-36 and this is in contrast to previous studies regarding the various surgical and endoscopic options [4,16,[22][23][24][25][26][27][28][29]; the difference may be due to the fact that these latter studies [4,16,[22][23][24][25][26][27][28][29] enrolled a highly selected group of patients with a short time interval between the intervention and the assessment of the health-related quality of life or that the data were not adjusted for sex and age.…”

Section: Chronic Pancreatitiscontrasting

confidence: 99%

“…Although medical management of pain may be one of the therapeutic modalities [13], surgical management has been the main option in the case of intractable pain in the past as well as in the present [14]. In recent years, other therapeutic options, more medically than surgically oriented, have been applied in clinical practice: endoscopic therapy [15], thoracoscopic splanchnicectomy [16], and extracorporeal shockwave lithotripsy [17].…”

Section: Chronic Pancreatitismentioning

confidence: 99%

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Pancreatic Diseases: The Need to Assess the Quality of Life Raffaele Pezzilli

Pezzilli¹

2012

Pancreat Disorders Ther

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The patient's overall well-being and ability to function is one of the measures capable of quantifying the impact of disease and treatment. Health-related quality of life, as subjectively perceived by the patient, is becoming a major issue in the evaluation of any therapeutic intervention, mainly in patients with chronic diseases. In this paper, the literature regarding the well-being of patients with pancreatic diseases, both acute and chronic, and of patients who undergo surgery for their benign or malignant pancreatic disease will be reviewed. The conclusions that can be drawn from the studies reviewed are that the quality of life should be routinely assessed for evaluating patients with pancreatic diseases.

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Section: Chronic Pancreatitiscontrasting

confidence: 99%

Section: Chronic Pancreatitismentioning

confidence: 99%

Pancreatic Diseases: The Need to Assess the Quality of Life Raffaele Pezzilli

Pezzilli¹

2012

Pancreat Disorders Ther

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“…Maximum Parsimony (MP) analyses were conducted using the PAUP* version 4.0b10 (20) for phylogenetic analysis. The heuristic search option was employed for the dataset, using tree bisection-reconnection (TBR) branch swapping, with 1000 replications of random addition sequence and an automatic increase in the maximum number of trees.…”

Section: The Maximum Parsimony Methodsmentioning

confidence: 99%

Molecular Phylogeny of the Genus Lathyrus (Fabaceae-Fabeae) Based on cpDNA matK Sequence in Iran

2014

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Background: More than 60 species of the genus Lathyrus are distributed in Southwest Asia. It is the second largest genus of the tribe Fabeae, after Vicia, in the region (and in Iran with 23 species). In the regional Flora (Flora of Turkey, Flora Iranica and flora of Iran), the genus has been divided into 9-10 sections. Here we analyzed the phylogeny of Lathyrus and its relationship with Pisum based on plastid gene matK sequences. Objectives: The present study utilized several approaches including maximum parsimony, Bayesian and maximum likelihood methods to evaluate the monophyly and relationship within the genus Lathyrus, both at the sectional level and species level, mainly based on the taxa growing in Iran. Materials and Methods: A total of 52 accessions, representing 38 species of Lathyrus, three species of Pisum and four species of Vicia and Lens as out-groups, were analyzed for reconstructing the phylogenetic relationship using chloroplast gene matK sequences. Maximum parsimony, Bayesian and maximum likelihood methods were used to construct phylogenetic trees. Results: The present study indicated that Pisum was nested among Lathyrus species. Two members of the Lathyrus section, Clymenum (Lathyrus ochrus and L. Clymenum) with Pisum, formed a weakly supported clade as sister to the larger polytomy comprising the remainder of the Lathyrus species. Several sections of Lathyrus including Lathyrostylis, Lathyrus and Clymenum were monophyletic. Lathyrus roseus (of the monotypic section Orobon) were nested among the members of section Lathyrus. The newly taxon described species L. alamutensis, endemic to Iran, were nested among other species of Lathyrostylis. Linearicarpus, Orobus and Pratensis were not monophyletic sections. Pratensis and the monotypic section Aphaca were the closest taxa. In our analysis, L. Pratensis formed a sister group relationship with the Aphaca clade, not its own section. Conclusions: Shimodaira-Hasegawa (SH) test of the matK data set showed that all of the analyzed Lathyrus species formed their own clade and Pisum was sister to them. Furthermore, when we removed the two above-mentioned Lathyrus species, the analysis retrieved Pisum, as a well-supported clade being sister to the Lathyrus calde.

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“…On the contrary, two other studies involving mostly patients with alcoholic pancreatitis, found no correlation between the success rate of splanchnicectomy and the incidence of prior interventions directed at pain control [111,112]. Although bilateral thoracoscopic splanchnicectomy is safe, involves a minimal access approach, and may provide improved quality of life in patients with small-duct pancreatitis, further studies are needed to identify clearly the appropriate candidates for this procedure [113].…”

Section: Neural Blockmentioning

confidence: 97%

“…The overall efficacy of this procedure also appears to depend on the patients to whom it is applied. In one study that included only patients with nonalcoholic pancreatitis, those who have had prior surgical or endoscopic interventions had a poorer response in pain relief compared to patients without prior intervention [113]. On the contrary, two other studies involving mostly patients with alcoholic pancreatitis, found no correlation between the success rate of splanchnicectomy and the incidence of prior interventions directed at pain control [111,112].…”

Section: Neural Blockmentioning

confidence: 99%