Long-term quality of life after surgery for chronic pancreatitis

The British Journal of Surgery
E S van LooV B Nieuwenhuijs

Abstract

Surgery for chronic pancreatitis is indicated for intractable pain or the treatment of complications. This retrospective cohort study evaluated the applicability of pain coping and quality-of-life (QOL) scoring in patients with chronic pancreatitis. Between 1995 and 2008, 155 patients underwent surgery for chronic pancreatitis in two Dutch university hospitals. Medical charts were reviewed, and QOL and coping with pain were assessed by two validated questionnaires. Median follow-up was 5.6 years. The aetiology was alcohol related in 48.3 per cent. Some 111 resections and 46 drainage procedures were performed. Fifty-seven patients had major complications and the hospital mortality rate was 1.3 per cent. After surgery the number of patients needing analgesics was reduced (P < 0.001). Alcohol consumption significantly reduced pain coping mechanisms (P = 0.032). Overall, QOL remained poor after surgery. Scores on three dimensions of the QOL questionnaire were significantly better after drainage than after resection procedures. In general, QOL after surgery for chronic pancreatitis remains poor, owing to pre-existing lifestyle and co-morbidity. Patients selected for a pancreatic duct drainage procedure have a better postoperative QO...Continue Reading

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Citations

Mar 19, 2013·Langenbeck's Archives of Surgery·Orlin BelyaevWaldemar Uhl
Jun 8, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·R M WalshB Hatipoglu
Feb 2, 2013·The Indian Journal of Surgery·Azhar PerwaizAdarsh Chaudhary
Mar 16, 2012·Annals of Surgery·Niels A van der GaagMarja A Boermeester
Sep 6, 2014·World Journal of Surgery·Vamsi Krishna Pothula RajendraThirunavukkarasu Sampath
Nov 15, 2013·The British Journal of Surgery·S A BouwenseH van Goor
May 25, 2015·American Journal of Surgery·Trevan D FischerKevin E Behrns
Oct 4, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·K TeoJ A Windsor
Mar 13, 2015·British Journal of Hospital Medicine·Bobby Vm DasariGareth Morris-Stiff
Nov 19, 2011·Journal of Pediatric Gastroenterology and Nutrition·John F PohlJames W Varni
Aug 16, 2021·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Asbjørn M DrewesJohn A Windsor

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