MEDICAL-MANAGEMENT OF CHRONIC-PANCREATITIS

被引:19
作者
TOSKES, PP
机构
[1] Division of Gastroenterology, Dept. of Medicine, University of Florida, Gainesville, FL
关键词
ABDOMINAL PAIN; CHRONIC PANCREATITIS; HORMONE STIMULATION TEST; OCTREOTIDE; PANCREATIC ENZYMES; SERUM TRYPSINOGEN; STEATORRHEA;
D O I
10.3109/00365529509107766
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Chronic pancreatitis should be considered in all patients with unexplained abdominal pain. The importance of small duct disease without obvious radiographic abnormalities is an important new concept. Diagnostic evaluation should begin with simple, non-invasive, inexpensive tests (serum trypsinogen) to be followed by more complicated testing (hormone stimulation test) if needed. Enteric-coated pancreatic enzymes are the drugs of choice for treating steatorrhea, while conventional non-enteric coated enzymes are preferred for managing pain. The somatostatin analogue octreotide may become an important therapy for treating abdominal pain unresponsive to pancreatic enzyme therapy. Endoscopic approaches to the treatment of chronic pancreatitis are experimental and may cause damage to the pancreas. Surgical ductal decompression is appropriate in selected patients.
引用
收藏
页码:74 / 80
页数:7
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