Yıl: 2007 Cilt: 37 Sayı: 6 Sayfa Aralığı: 327 - 331 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Pain in upper abdominal malignancy

Öz:
This review will cover selected aspects of pain in upper abdominal malignancy. Mechanisms of pain are poorly understood, although thought to be related to inflammation at least in some circumstances. Pain may be a marker of advanced disease. The clinical problem of how to treat pain can only be addressed by research studies that compare the effects of different treatments, using validated techniques to measure pain. Some of these measures are reviewed, and the significance of reported changes in pain scores in a number of clinical trials is discussed. In clinical practice, it is a desirable goal to render the patient pain-free, rather than simply to reduce pain scores. This objective, however, is much more difficult to achieve.
Anahtar Kelime:

Konular: Cerrahi

Üst abdominal tümörlerde ağrı

Öz:
This review will cover selected aspects of pain in upper abdominal malignancy. Mechanisms of pain are poorly understood, although thought to be related to inflammation at least in some circumstances. Pain may be a marker of advanced disease. The clinical problem of how to treat pain can only be addressed by research studies that compare the effects of different treatments, using validated techniques to measure pain. Some of these measures are reviewed, and the significance of reported changes in pain scores in a number of clinical trials is discussed. In clinical practice, it is a desirable goal to render the patient pain-free, rather than simply to reduce pain scores. This objective, however, is much more difficult to achieve.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. Ceyhan GO, Giese NA, Erkan M, Kerscher AG, Wente MN, Giese T et al. The neurotrophic factor artemin promotes pancreatic cancer invasion. Ann Surg2006; 244: 274-81.
  • 2. Lindsay TH, Jonas BM, Sevcik MA, Kubota K, Halvorson KG, Ghilardi JR et al. Pancreatic cancer pain and its correlation with changes in tumor vasculature, macrophage infiltration, neuronal innervation, body weight and disease progression. Pain 2005; 119: 233-46.
  • 3. Zhu Z, Friess H, diMola FF, Zimmermann A, Graber HU, Korc M et al. Nerve growth factor expression correlates with perineural invasion and pain in human pancreatic cancer. J Clin Oncol 1999; 17: 2419-28.
  • 4. Bockman DE, Buchler M, Beger HG. Interaction of pancreatic ductal carcinoma with nerves leads to nerve damage. Gastroenterology 1994; 107: 219-30.
  • 5. Porta M, Fabregat X, Malats N, Guarner L, Carrato A, de Miguel A et al. Exocrine pancreatic cancer: symptoms at presentation and their relation to tumour site and stage. Clin Transl Oncol 2005; 7: 189-97.
  • 6. Burris HA III, Moore MJ, Andersen J, Green MR, Rothenberg ML, Modiano MR et al. Improvements in survival and clinical benefit with gemcitabine as first-line therapy for patients with advanced pancreas cancer: a randomized trial. J Clin Oncol 1997; 15: 2403-13.
  • 7. Ferraz MB, Quaresma MR, Aquino LR, Atra E, Tugwell P, Goldsmith CH. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis. J Rheumatol1990; 17: 1022-4.
  • 8. Cleeland CS. Measurement of pain by subjective report. In: Chapman CR, Loeser JD, editors. Advances in Pain Research and Therapy Volume 12: Issues in Pain Measurement. New York: Raven Press; 1989. pp. 391-403.
  • 9. Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain1975; 1: 277-99.
  • 10. Fishman B, Pasternak S, Wallenstein SL, Houde RW, Holland JC, Foley KM. The Memorial Pain Assessment Card. A valid instrument for the evaluation of cancer pain. Cancer 1987; 60: 1151-8.
  • 11. Caraceni A, Cherny N, Fainsinger R, Kaasa S, Poulain P, Radbruch L et al. Pain measurement tools and methods in clinical research in palliative care: recommendations of an Expert Working Group of the European Association of Palliative Care. J Pain Symptom Manage 2002; 23: 239-55.
  • 12. Hovi SL, Lauri S. Patients' and nurses' assessment of cancer pain. Eur J Cancer Care (Engl)1999; 8: 213-9.
  • 13. Drayer RA, Henderson J, Reidenberg M. Barriers to better pain control in hospitalized patients. J Pain Symptom Manage 1999; 17: 434-40.
  • 14. Expert Working Group of the European Association for Palliative Care. Morphine in cancer pain: modes of administration. BMJ 1996; 312: 823-6.
  • 15. Eisenberg E, Carr DB, Chalmers TC. Neurolytic celiac plexus block for treatment of cancer pain: a meta-analysis. Anesth Analg1995; 80: 290-5.
  • 16. Mercadante S, Nicosia F. Celiac plexus block: a reappraisal. Reg Anesth Pain Med1998; 23: 37-48.
  • 17. Lillemoe KD, Cameron JL, Kaufman HS, Yeo CJ, Pitt HA, Sauter PK. Chemical splanchnicectomy in patients with unresectable pancreatic cancer. A prospective randomized trial. Ann Surg 1993; 217: 447-55.
  • 18. Staats PS, Hekmat H, Sauter P, Lillemoe K. The effects of alcohol celiac plexus block, pain, and mood on longevity in patients with unresectable pancreatic cancer. Pain Med2001; 2: 28-34.
  • 19. Okuyama M, Shibata T, Morita T, Kitada M, Tukahara Y, Fukushima Y et al. A comparison of intraoperative celiac plexus block with pharmacological therapy as a treatment for pain of unresectable pancreatic cancer. J Hepatobiliary Pancreat Surg 2002; 9: 372-5.
  • 20. Saenz A, Kuriansky J, Salvador L, Astudillo E, Cardona V, Shabtai M et al. Thoracoscopic splanchnicectomy for pain control in patients with unresectable carcinoma of the pancreas. Surg Endosc2000; 14: 717-20.
  • 21. Sastre B, Carabalona B, Crespy B, Delpero JR, Sielezneff I, Michotey G. Transhiatal bilateral splanchnicotomy for pain control in pancreatic cancer: basic anatomy, surgical technique, and immediate results in fifty-one cases. Surgery1992; 111: 640-6.
  • 22. Sharfman WH, Walsh TD. Has the analgesic efficacy of neurolytic celiac plexus block been demonstrated in pancreatic cancer pain? Pain1990; 41: 267-71.
  • 23. Wong GY, Schroeder DR, Carns PE, Wilson JL, Martin DP, Kinney MO et al. Effect of neurolytic celiac plexus block on pain relief, quality of life, and survival in patients with unresectable pancreatic cancer: a randomized controlled trial. JAMA 2004; 291: 1092-9.
  • 24. Davies DD. Incidence of major complications of neurolytic coeliac plexus block. J R Soc Med1993; 86: 264-6.
  • 25. Cuschieri A, Shimi SM, Crosthwaite G, Joypaul V. Bilateral endoscopic splanchnicectomy through a posterior thoracoscopic approach. J R Coll Surg Edinb1994; 39: 44-7.
  • 26. Le Pimpec BF, Chapuis O, Riquet M, Cuttat JF, Peillon C, Mouroux J et al. Thoracoscopic splanchnicectomy for control of intractable pain in pancreatic cancer. Ann Thorac Surg1998; 65: 810-3.
  • 27. Lin CC, Mo LR, Lin YW, Yau MP. Bilateral thoracoscopic lower sympathetic-splanchnicectomy for upper abdominal cancer pain. Eur J Surg Suppl1994; 572: 59-62.
  • 28. Melki J, Riviere J, Roullee N, Soury P, Peillon C, Testart J. Thoracic splanchnectomy under video-thoracoscopy. Presse Med 1993; 22: 1095-7.
  • 29. Worsey J, Ferson PF, Keenan RJ, Julian TB, Landreneau RJ. Thoracoscopic pancreatic denervation for pain control in irresectable pancreatic cancer. Br J Surg1993; 80: 1051-2.
  • 30. Ihse I, Zoucas E, Gyllstedt E, Lillo-Gil R, Andren-Sandberg A. Bilateral thoracoscopic splanchnicectomy: effects on pancreatic pain and function. Ann Surg1999; 230: 785-90.
  • 31. Pietrabissa A, Vistoli F, Carobbi A, Boggi U, Bisa M, Mosca F. Thoracoscopic splanchnicectomy for pain relief in unresectable pancreatic cancer. Arch Surg2000; 135: 332-5.
APA JOHNSON C, IRTWISTLE J, DAVIS C (2007). Pain in upper abdominal malignancy. , 327 - 331.
Chicago JOHNSON Colin,IRTWISTLE Jon,DAVIS Carol Pain in upper abdominal malignancy. (2007): 327 - 331.
MLA JOHNSON Colin,IRTWISTLE Jon,DAVIS Carol Pain in upper abdominal malignancy. , 2007, ss.327 - 331.
AMA JOHNSON C,IRTWISTLE J,DAVIS C Pain in upper abdominal malignancy. . 2007; 327 - 331.
Vancouver JOHNSON C,IRTWISTLE J,DAVIS C Pain in upper abdominal malignancy. . 2007; 327 - 331.
IEEE JOHNSON C,IRTWISTLE J,DAVIS C "Pain in upper abdominal malignancy." , ss.327 - 331, 2007.
ISNAD JOHNSON, Colin vd. "Pain in upper abdominal malignancy". (2007), 327-331.
APA JOHNSON C, IRTWISTLE J, DAVIS C (2007). Pain in upper abdominal malignancy. Turkish Journal of Medical Sciences, 37(6), 327 - 331.
Chicago JOHNSON Colin,IRTWISTLE Jon,DAVIS Carol Pain in upper abdominal malignancy. Turkish Journal of Medical Sciences 37, no.6 (2007): 327 - 331.
MLA JOHNSON Colin,IRTWISTLE Jon,DAVIS Carol Pain in upper abdominal malignancy. Turkish Journal of Medical Sciences, vol.37, no.6, 2007, ss.327 - 331.
AMA JOHNSON C,IRTWISTLE J,DAVIS C Pain in upper abdominal malignancy. Turkish Journal of Medical Sciences. 2007; 37(6): 327 - 331.
Vancouver JOHNSON C,IRTWISTLE J,DAVIS C Pain in upper abdominal malignancy. Turkish Journal of Medical Sciences. 2007; 37(6): 327 - 331.
IEEE JOHNSON C,IRTWISTLE J,DAVIS C "Pain in upper abdominal malignancy." Turkish Journal of Medical Sciences, 37, ss.327 - 331, 2007.
ISNAD JOHNSON, Colin vd. "Pain in upper abdominal malignancy". Turkish Journal of Medical Sciences 37/6 (2007), 327-331.