Endoscopic Versus Surgical Treatment of Downstream Pancreatic Duct Stones in Chronic Pancreatitis

Pancreatic duct stone is thought not only to be the cause of abdominal pain but also to be a risk factor for pancreatic cancer. Several treatment options have been implemented in the treatment of pancreatic duct stones. Stone location is a critical factor in selecting treatment. We present the results of 27 endoscopic treatments and 35 surgical treatments performed in three hospitals at a single university between January 2000 and January 2005. The results were compared retrospectively in terms of success rate of stone removal, length of hospital stay, complications, pain relief, and changes of pancreatic functions. In our study, endoscopy resulted in a similar success rate of stone removal and short-term pain relief rate as the surgical approach and with a shorter length of hospital stay. However, the surgical group had a more favorable long-term clinical result, as well as a lower number of hospital readmissions at the 5-year follow-up point. Based on long-term results, surgical treatment is more effective than endoscopy.

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Long-Term Results of a Simultaneous Trial of Deep Brain and Motor Cortex Stimulation in Refractory Neuropathic Pain

Translational Neuroscience and Clinics ◽

10.18679/cn11-6030_r.2017.002 ◽

2017 ◽

Vol 3 (1) ◽

pp. 4-15

Author(s):

Byung-chul Son ◽

Jin-gyu Choi ◽

Sang-woo Ha ◽

Deog-ryeong Kim

Keyword(s):

Neuropathic Pain ◽

Pain Relief ◽

Motor Cortex ◽

Success Rate ◽

Rating Scale ◽

Long Term Results ◽

Motor Cortex Stimulation ◽

Significant Difference ◽

Deep Brain

Objective Although deep brain stimulation (DBS) and motor cortex stimulation (MCS) are effective in patients with refractory neuropathic pain, their application is still empirical; there is no consensus on which technique is better. Methods To enhance the success rate of trial stimulation of invasive neuromodulation techniques and identify approapriate stimulation targets in individual patients, we performed a simultaneous trial of thalamic ventralis caudalis (Vc) DBS and MCS in 11 patients with chronic neuropathic pain and assessed the results of the trial stimulation and long-term analgesia. Results Of the 11 patients implanted with both DBS and MCS electrodes, nine (81.8%) had successful trials. Seven of these nine patients (77.8%) responded to MCS, and two (18.2%) responded to Vc DBS. With long-term follow-up (56 ± 27.5 months), the mean numerical rating scale decreased significantly (P < 0.05). The degree of percentage pain relief in the chronic MCS (n = 7) and chronic DBS (n = 2) groups were 34.1% ± 18.2% and 37.5%, respectively, and there was no significant difference (P = 0.807). Five out of the seven MCS patients (71%) and both DBS patients had long-term success with the treatments, defined as >30% pain relief compared with baseline. Conclusions With simultaneous trial of DBS and MCS, we could enhance the success rate of invasive trials. Considering the initial success rate and the less invasive nature of epidural MCS over DBS, we suggest that MCS may be a better, initial means of treatment in chronic intractable neuropathic pain. Further investigations including other subcortical target-associated medial pain pathways are warranted.

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Extracorporeal Shock-Wave Lithotripsy of Pancreatic Duct Stones: Immediate and Long-Term Results

Endoscopy ◽

10.1055/s-2007-1009042 ◽

1994 ◽

Vol 26 (07) ◽

pp. 573-578 ◽

Cited By ~ 36

Author(s):

R. van der Hul ◽

P. Plaisier ◽

J. Jeekel ◽

O. Terpstra ◽

R. den Toom ◽

...

Keyword(s):

Shock Wave ◽

Pancreatic Duct ◽

Extracorporeal Shock Wave Lithotripsy ◽

Shock Wave Lithotripsy ◽

Long Term Results ◽

Extracorporeal Shock Wave ◽

Pancreatic Duct Stones

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Effect of Flap Selection on the Postoperative Success of Sacral Pressure Injuries: A Retrospective Analysis

WOUNDS A Compendium of Clinical Research and Practice ◽

10.25270/wnds/091721.01 ◽

2021 ◽

Vol 33 (10) ◽

pp. 271-276

Author(s):

Serhat Şibar ◽

Kemal Findikcioglu ◽

Kirdar Guney ◽

Serhan Tuncer ◽

Suhan Ayhan

Keyword(s):

Hospital Stay ◽

Chronic Wounds ◽

Length Of Hospital Stay ◽

Long Term Results ◽

Drain Removal ◽

Significant Difference ◽

Group 3 ◽

The Mean ◽

Group 2

Introduction. Pressure injuries (PIs) continue to be a substantial problem and burden for the present-day health care system and are the leading cause of chronic wounds worldwide. There is no current consensus on the long-term results of the use of flaps in sacral PI reconstruction and optimal flap choice. Objective. This study aimed to evaluate whether flap selection influences postoperative results in sacral PI reconstruction. Materials and Methods. Patients who underwent surgery for PIs in the authors’ clinic between 2002 and 2016 were retrospectively analyzed. A total of 63 patients with stage 3/stage 4 sacral PIs and who underwent reconstruction with fasciocutaneous (FC) flaps (group 1), musculocutaneous (MC) flaps (group 2), or perforator (P) flaps (group 3) were included in the study. The mean duration of the follow-up period was 14.4 months, and patients were evaluated in terms of their demographic data, length of hospital stay, complications, and recurrence. Results. The mean age, sex distribution, and ambulatory status were similar between the groups. In group 2 (MC), the mean length of hospital stay and mean drain removal time were significantly longer. The mean daily drainage amount was significantly higher in group 2 (MC) than in the other groups, and long-term relapses were less frequently observed in group 3 (P). A significant difference was observed between groups 2 (FC) and 3 (MC) in terms of wound dehiscence. The authors determined that P flaps were associated with a reduced mean length of hospital stay and daily drainage. Conclusions. For these patients, P flaps appear to be the optimal flap choice for sacral area reconstruction. However, new prospective randomized studies are needed to support these findings.

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“SPLIT” Pancreaticojejunostomy in the Surgical Treatment of Chronic Pancreatitis

HPB Surgery ◽

10.1155/1994/56303 ◽

1994 ◽

Vol 8 (1) ◽

pp. 9-12 ◽

Cited By ~ 1

Author(s):

W. Mulder ◽

E. de Jong ◽

T. M. van Gulik ◽

L. Th. de Wit ◽

D. J. van Leeuwen ◽

...

Keyword(s):

Chronic Pancreatitis ◽

Surgical Treatment ◽

Pancreatic Duct ◽

Long Term Results ◽

Jejunal Loop

“Split” pancreaticojejunostomy is a procedure consisting of vertical transection of the pancreas and anastomosis of both sides of the cut pancreatic duct with an interposed, Roux-en-Y jejunal loop. In this paper we report the long term results of this procedure in the treatment of eight patients with chronic pancreatitis (CP).

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Surgical treatment of trigonocephaly: technique and long-term results in 48 cases

Yearbook of Neurology and Neurosurgery ◽

10.1016/j.yneu.2011.05.060 ◽

2011 ◽

Vol 2011 ◽

pp. 282

Author(s):

P. Klimo

Keyword(s):

Surgical Treatment ◽

Long Term Results

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Long-term results of radiofrequency ablation used for the surgical treatment of atrial fibrillation associated with rheumatic mitral valve disease

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0029-1191713 ◽

2009 ◽

Vol 56 (S 01) ◽

Author(s):

I Tzanavaros ◽

I Bergfeld ◽

A Rajca ◽

V Herwig ◽

A Heyde ◽

...

Keyword(s):

Atrial Fibrillation ◽

Surgical Treatment ◽

Radiofrequency Ablation ◽

Mitral Valve ◽

Mitral Valve Disease ◽

Valve Disease ◽

Long Term Results

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Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

International scientific-practical journal Ophthalmology ◽

10.30702/ophthalmology30092020-11.1.2049-65 ◽

2020 ◽

pp. 49-65

Author(s):

N Bobrova ◽

N Trofimova

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Hypotensive Effect ◽

Congenital Glaucoma ◽

Long Term Results ◽

General Will ◽

Visual Functions ◽

Advanced Stages ◽

Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular ﬂuid outﬂow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

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SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

Problems in oncology ◽

10.37469/0507-3758-2017-63-1-146-152 ◽

2017 ◽

Vol 63 (1) ◽

pp. 146-152

Author(s):

Mikhail Ter-ovanesov ◽

Aleksandr Levitskiy ◽

E. Lesnidze ◽

Aram Gaboyan ◽

Mariya Kukosh ◽

...

Keyword(s):

Surgical Treatment ◽

Long Term Results ◽

Esophageal Reconstruction ◽

Gastroesophageal Cancer ◽

Colonic Interposition ◽

Simultaneous Application ◽

High Involvement ◽

Surgical Access ◽

Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

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