Document Detail


Quality of Life in Patients After Pancreaticoduodenectomy for Chronic Pancreatitis.
MedLine Citation:
PMID:  21512849     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: Pancreaticoduodenectomy (PD) is the most frequently performed resectional procedure in chronic pancreatitis. Only a few studies have evaluated quality of life (QOL) after PD for chronic pancreatitis. This retrospective study examined long-term quality of life and relief of symptoms in a homogenous consecutive cohort of 67 patients undergoing PD for chronic pancreatitis. METHODS: A standard QOL questionnaire was sent to 168 patients after PD who had undergone PD for chronic pancreatitis at the University Hospital Dresden between 1994 and 2008. QOL and long-term sequelae were evaluated by the EORTC quality of life questionnaire supplemented with complementary questions. Results were compared to general population data based on large random samples. RESULTS: Median follow-up was 69.1 months. Complete response was obtained from 67 (48.5%) patients. Long-term survival of our patients was lower than expected rates based on the Federal Republic of Germany life table analysis (p < 0.001). There was an improved pain control and an increase in weight gain. Overall, QOL scores were slightly inferior to those of the control group. A common problem after PD was onset of diabetes mellitus; however, exocrine function of the pancreas was stable. CONCLUSIONS: This is the largest single-institution experience assessing QOL after PD for chronic pancreatitis. Most patients have QOL scores comparable to those of the control patients and can function independently in daily activities.
Authors:
Felix Rückert; Marius Distler; Sven Hoffmann; Doreen Hoffmann; Christian Pilarsky; Frank Dobrowolski; Hans-Detlev Saeger; Robert Grützmann
Related Documents :
400739 - Adipose tissue lipoprotein lipase in chronic hemodialysis: role in plasma triglyceride ...
10352219 - 1997 peritoneal dialysis-core indicators study: dialysis adequacy and nutritional indic...
8184149 - A study of 500 cases of acute renal failure (1978-1991).
14736009 - Arteriovenous fistula use and heart disease in long-term elderly hemodialysis patients:...
17371779 - National survey of heparin-induced thrombocytopenia in the haemodialysis population of ...
19789539 - Licorice: a sweet alternative to prevent hyperkalemia in dialysis patients?
8780089 - Gastric emptying in parkinson's disease: patients with and without response fluctuations.
15791349 - Impact of nutritional status on the evolution of alzheimer's disease and on response to...
2125129 - Evaluation of thyroid function in patients with rapid-cycling and non-rapid-cycling bip...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-22
Journal Detail:
Title:  Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract     Volume:  -     ISSN:  1873-4626     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706084     Medline TA:  J Gastrointest Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of General, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany, Felix.Rueckert@uniklinikum-dresden.de.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Surgical Outcomes for Hepatocellular Carcinoma in Nonalcoholic Fatty Liver Disease.
Next Document:  Significance of Platelet Count in the Outcomes of Hepatectomized Patients with Hepatocellular Carcin...