Pancreas
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Review Meta Analysis Comparative Study
Pancreatic resection in patients 80 years or older: a meta-analysis and systematic review.
The aim of this study was to evaluate the safety of pancreatic resections in patients 80 years or older. ⋯ Patients 80 years or older have an increased incidence of postoperative mortality, morbidity, and cardiac complications and a longer length of hospital stay than do younger patients. Thus, pancreatic resection can be recommended only in a selected group of patients 80 years or older.
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Meta Analysis
Meta-analysis: the placebo rate of abdominal pain remission in clinical trials of chronic pancreatitis.
Treatment of the pain caused by chronic pancreatitis (CP) is not standardized. Knowledge of the response to placebo in this setting may aid the design of future trials. We aimed at investigating the placebo effect on abdominal pain remission rates in patients with CP. ⋯ This meta-analysis identifies for the first time the efficacy of placebo for pain in CP and variables determining it. These data provide a sound basis for designing future placebo-controlled randomized clinical trials for the treatment of pain in CP.
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The aim of this study was to evaluate the efficacy of somatostatin and its analogues in prevention of postoperative complications after pancreaticoduodenectomy. ⋯ The use of somatostatin and its analogues does not significantly reduce postoperative complications after pan-creaticoduodenectomy.