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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | NOBRE MOURA, Renata | - |
dc.contributor.author | HOURNEAUX DE MOURA, Eduardo Guimarães | - |
dc.contributor.author | MARQUES BERNARDO, Wanderley | - |
dc.contributor.author | OTOCH, Jose P | - |
dc.contributor.author | CASTILLO BUSTAMANTE, Fabio Alberto | - |
dc.contributor.author | VIEIRA ALBERS, Débora | - |
dc.contributor.author | RODELA SILVA, Gustavo Luis | - |
dc.contributor.author | MARQUES CHAVES, Dalton | - |
dc.contributor.author | DE ALMEIDA ARTIFON, Everson Luiz | - |
dc.date.accessioned | 2016-07-27T18:57:29Z | - |
dc.date.available | 2016-07-27T18:57:29Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | REVISTA DE GASTROENTEROLOGíA DEL PERú, v.35, n.4, p.333-341, 2015 | - |
dc.identifier.issn | 1022-5129 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/14606 | - |
dc.description.abstract | Background: Abdominal pain is present in the vast majority of patients with chronic pancreatitis, being frequently debilitating. Celiac plexus block (CPB) is an interventional technique that can be considered to provide a temporary pain relief. Objective: To estimate the effectiveness and safeness of endoscopic-ultrasound (EUS) comparing with percutaneous-guided CBP in patients with pancreatic pain. Methods: A systematic review of English and non-English articles using MEDLINE, EMBASE, LILACS and COCHRANE (via BVS). Study selection and data extraction: Only randomized control trials (RCT) comparing the beneficial and harmful effects of EUS and percutaneous-guided celiac plexus block for managing pancreatic pain were included. Data was extracted and analyzed on variables including pain relief and related procedure complications. Results: Two RCT met the inclusion criteria. Both studies assessed the primary outcome (reduction on pain score) and evaluated adverse effects. The drugs injected were the same; nevertheless percutaneous technique was guided by fluoroscopy in one study and by computer tomography (CT) in other. The results showed that the EUS-CPB group was more effective to reduce pain score after 4 weeks after the procedure, with risk of bias to do this affirmation. No statistical difference in pain relief at 1, 8 and 12 weeks and in complications rates. Conclusions: Based on this systematic review and meta-analysis, no statistically significant difference was noted in pain relief and complications for EUS and percutaneous - CPB. | - |
dc.description.abstract | Antecedentes: El dolor abdominal es presente en la gran mayoría de pacientes con pancreatitis crónica, siendo con frecuencia debilitante. El bloqueo del plexo celíaco (BPC) es una técnica de intervención que puede ser considerado para proporcionar un alivio temporal del dolor. Objetivo: Estimar la eficacia y seguridad de la ecografía endoscópica-(EE) comparando con percutánea en pacientes con dolor de páncreas. Fuentes de datos: una revisión sistemática de los artículos utilizando MEDLINE, EMBASE, LILACS y COCHRANE (a través de la BVS). Selección de los estudios y la extracción de datos: se incluyeron solo ensayos controlados aleatorios que compararon los efectos beneficiosos y perjudiciales de la USE y bloqueo del plexo celiaco percutánea para el manejo del dolor de pancreas. Los datos fueron extraídos y analizados en variables incluyendo el alivio del dolor y las complicaciones de procedimientos relacionados. Resultados: Dos ensayos controlados cumplieron los criterios de inclusión. Ambos estudios evaluaron el resultado primario (reducción en la puntuación de dolor) y los efectos adversos. Las drogas inyectadas fueron las mismas; sin embargo, la técnica percutánea fue guiado por fluoroscopia en un estudio y por tomografía computarizada (TC) en el otro. Los resultados mostraron que el grupo de la EE fue más eficaz para reducir la escala de dolor después de 4 semanas del procedimiento, con el riesgo de sesgo de hacer esta afirmación. No hay diferencia estadística en el alivio del dolor en el 1, 8 y 12 semanas y en las tasas de complicaciones. Conclusiones: En base a esta revisión sistemática y meta-análisis, no se observaron diferencias estadísticamente significativas en el alivio del dolor y las complicaciones de la BCP por EE y percutánea. | - |
dc.language.iso | eng | - |
dc.publisher | Sociedad de Gastroenterología del Perú | - |
dc.relation.ispartof | Revista de Gastroenterología del Perú | - |
dc.rights | openAccess | - |
dc.subject | Pancreatitis, chronic | - |
dc.subject | Pain managemen | - |
dc.subject | Celiac plexu | - |
dc.subject | Endosonography | - |
dc.subject | Meta-analysis | - |
dc.subject | Pancreatitis crónica | - |
dc.subject | Manejo del dolor | - |
dc.subject | Plexo celíaco | - |
dc.subject | Endosonografía | - |
dc.subject | Metanálisis | - |
dc.title | Endoscopic-ultrasound versus percutaneous-guided celiac plexus block for chronic pancreatitis pain: A systematic review and meta-analysis | - |
dc.title.alternative | Bloqueo del plexo celiaco para el dolor por pancreatitis crónica - ultrasonido endoscópico versus percutánea: una revisión sistemática y meta-análisis | - |
dc.type | article | - |
dc.rights.holder | Copyright Sociedad de Gastroenterología del Perú | - |
dc.identifier.pmid | 26802887 | - |
dc.subject.wos | Gastroenterology & Hepatology | - |
dc.subject.wos | Health Policy & Services | - |
dc.subject.wos | Medical Ethics | - |
dc.subject.wos | Medicine, General & Internal | - |
dc.type.category | review | - |
dc.type.version | publishedVersion | - |
hcfmusp.description.beginpage | 333 | - |
hcfmusp.description.endpage | 341 | - |
hcfmusp.description.issue | 4 | - |
hcfmusp.description.volume | 35 | - |
hcfmusp.origem | sciELO | - |
hcfmusp.origem.id | SCIELO:S1022-51292015000400007 | - |
hcfmusp.origem.id | 2-s2.0-85011739936 | - |
hcfmusp.publisher.city | Lima | - |
hcfmusp.publisher.country | PERU | - |
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dc.description.index | MEDLINE | - |
hcfmusp.citation.scopus | 12 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCG Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/26 Artigos e Materiais de Revistas Científicas - LIM/35 |
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