Bilateral thoracoscopic splanchnicectomy for pain in patients with chronic pancreatitis impairs adrenomedullary but not noradrenergic sympathetic function
نویسندگان
چکیده
منابع مشابه
Effectiveness of Single-Port Thoracoscopic Splanchnicectomy in Controlling Pain in Patients with Chronic Pancreatitis
Introduction: Chronic pancreatitis is defined as a persistent pancreatic inflammatory disease. In chronic pancreatitis, recurrent episodes of inflammation lead to the replacement of pancreatic parenchyma with fibrotic connective tissue. Chronic pancreatitis pain, which may initially mimic acute pancreatitis, is severe, frequent, and continual and has a major impact on the quality of life and so...
متن کاملThoracoscopic Splanchnicectomy for Pain Control in Irresectable Pancreatic Cancer
Introduction : Severepain is a major problem in patients with unresectable pancreatic cancer. The goal of this study is to evaluate the effects of Thoracoscopic Splanchnicectomy (TS) on pain control in these patients suffering from unresectable pancreatic cancer. Methods:Between years 2000 to 2011, 20 patients suffering from unresectable pancreatic cancer underwent TS due to severe pain. They w...
متن کاملThoracoscopic Splanchnicectomy
A serious problem for patients with unresectable pancreatic cancer and chronic pancreatitis is pain. For many of these patients medical therapy is unable to assure a good control of it. Celiac plexus nerve block and surgical denervation of the pancreas have proven their superiority over medical therapy. Thoracoscopic splanchnicectomy is a palliative procedure that consists in identification and...
متن کاملthoracoscopic splanchnicectomy for pain control in irresectable pancreatic cancer
introduction : severepain is a major problem in patients with unresectable pancreatic cancer. the goal of this study is to evaluate the effects of thoracoscopic splanchnicectomy (ts) on pain control in these patients suffering from unresectable pancreatic cancer. methods:between years 2000 to 2011, 20 patients suffering from unresectable pancreatic cancer underwent ts due to severe pain. they w...
متن کاملChronic alpha-1-adrenergic blockade increases sympathoneural but not adrenomedullary activity in patients with essential hypertension.
OBJECTIVE Doxazosin, a selective alpha1-adrenoceptor antagonist, lowers blood pressure by reducing peripheral vascular resistance without causing reflex tachycardia. To discover whether antihypertensive treatment with an alpha1-adrenoceptor blocker is accompanied by an increase in sympathoadrenomedullary activity, we studied plasma catecholamine kinetics before and during treatment with doxazos...
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ژورنال
عنوان ژورنال: Surgical Endoscopy
سال: 2012
ISSN: 0930-2794,1432-2218
DOI: 10.1007/s00464-012-2152-4