Prospective evaluation of morphology, function, and quality of life after extracorporeal shockwave lithotripsy and endoscopic treatment of chronic calcific pancreatitis

Brand, Boris; Kahl, Matthias; Sidhu, Sandeep Singh; Nam, V C; Sriram, Parupudi V.J.; Jaeckle, Stefan; Thonke, Frank; Soehendra, Nib

doi:10.1016/s0002-9270(00)01983-3

Cited by 49 publications

(70 citation statements)

References 32 publications

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“…The aim of this study was not to assess the effects of surgical management on QoL in CP and the patients had undergone many types of surgical and endoscopic procedures, usually for more severe disease, and follow-up after these interventions varied a lot. The time of follow-up after those intervention should be considered, because studies showing improvement of QoL usually evaluated short time intervals [16,20,21]. Studies are needed to assess QoL after a medium or long-term follow-up after endoscopic treatment and the time period between disease onset and QoL evaluation is also important [19].…”

Section: Discussionmentioning

confidence: 99%

Clinical, Emotional and Social Factors Associated with Quality of Life in Chronic Pancreatitis

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Clinical, Emotional and Social Factors Associated with Quality of Life in Chronic Pancreatitis

et al. 2010

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“…Successful stone fragmentation following ESWL has been defined as stones broken into fragments ≤2 or 3 mm [32,33,34], or by the demonstration of a decreased stone density at X-ray, an increased stone surface, and a heterogeneity of the stone which may fill the main PD and adjacent side branches [22,35]. Stone fragmentation is achieved in about 90% of cases.…”

Section: Endoscopic Therapymentioning

confidence: 99%

“…Moreover, recently, a large prospective study reported a stone fragmentation rate of 93% [34], but in this study patients with isolated pancreatic tail calculi, extensive calculi in the head, body and tail, and multiple PD strictures were excluded. Lower fragmentation (54-60%) rates are also reported [32,37]. Brand et al [32 ]report a fragmentation rate of 60% and accomplished a complete stone clearance of 44% by as many as a median of 13 (range 2-74) ESWL sessions.…”

Section: Endoscopic Therapymentioning

confidence: 99%

“…Lower fragmentation (54-60%) rates are also reported [32,37]. Brand et al [32 ]report a fragmentation rate of 60% and accomplished a complete stone clearance of 44% by as many as a median of 13 (range 2-74) ESWL sessions. Others have reported a mean of 5 sessions to achieve complete fragmentation [31].…”

Section: Endoscopic Therapymentioning

confidence: 99%

“…Complete stone clearance rates vary between 39 and 76%, but complete stone clearance is probably not always required for symptom relief [25,30,31,32,35,37,38,39,40,41,42,43,44,45]. Dumonceau et al [46 ]reported a significant association between immediate disappearance of pain and complete or partial PD clearance.…”

Section: Endoscopic Therapymentioning

confidence: 99%

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Surgical and Endoscopic Treatment of Pain in Chronic Pancreatitis: A Multidisciplinary Update

et al. 2013

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Chronic pancreatitis is an inflammatory disease of the pancreas with abdominal pain as the most prominent symptom. Adequate treatment of patients with chronic pancreatitis remains a major challenge, mainly because of the lack of evidence-based treatment protocols. The primary goal of treatment is to achieve long-term pain relief, control of the complications associated with the disease, and to restore the quality of life. Currently, a conservative step-up approach is often used for the treatment of pain; progression to severe and intractable pain is considered necessary before invasive treatment is considered. Recent studies, however, suggest that surgical intervention should not be considered only as last-resort treatment, since it can mitigate disease progression, achieve excellent pain control, and preserve pancreatic function. In this review, we present a state-of-the art overview of endoscopic and surgical treatment options for patients with painful chronic pancreatitis, and elaborate on the timing of surgery.

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Quality of Life in Chronic Pancreatitis

Grist¹,

Jupp²,

Johnson³

2021

Clinical Pancreatology for Practising Gastroenterologists and Surgeons

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chronic pancreatitis (cP) is a destructive inflammatory condition that leads to progressive morphological and functional changes and is characterised by significant abdominal pain. When formally assessed, pain has been demonstrated to affect all aspects of patients' health-related quality of life (hrQL). it is widely acknowledged that, in a patient-centred healthcare system, treatment should not just measure the success of controlling symptoms, but also the effect on the patients' perceived wellbeing and hrQL. We review various hrQL assessment questionnaires used to assess patients with cP, how they have been used to assess the success of various treatment methods for cP, and the challenges in interpreting the information. Keywordschronic pancreatitis, quality of life, Medical outcome study 36-item short-form health survey, Medical outcome study 12-item short-form health survey, european organisation for research and Treatment of cancer Quality of Life Questionnaire c-30 Disclosure: The authors have no conflicts of interest to declare.

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Prospective evaluation of morphology, function, and quality of life after extracorporeal shockwave lithotripsy and endoscopic treatment of chronic calcific pancreatitis

Cited by 49 publications

References 32 publications

Clinical, Emotional and Social Factors Associated with Quality of Life in Chronic Pancreatitis

Clinical, Emotional and Social Factors Associated with Quality of Life in Chronic Pancreatitis

Surgical and Endoscopic Treatment of Pain in Chronic Pancreatitis: A Multidisciplinary Update

Quality of Life in Chronic Pancreatitis

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