Pain Management in chronic pancreatitis

被引:2
作者
Darwin L. Conwell
Gregory Zuccaro
机构
[1] The Cleveland Clinic Foundation,Department of Gastroenterology, Section for Endoscopy and Pancreaticobiliary Diseases
关键词
Chronic Pancreatitis; Pancreatic Duct; Tramadol; Main Drug Interaction; Celiac Plexus;
D O I
10.1007/s11938-999-0007-4
中图分类号
学科分类号
摘要
Painful chronic pancreatitis is difficult to manage. We believe a multidisciplinary approach is the best means of evaluating this complex syndrome. In our opinion, the initial evaluation should aim at firmly establishing the diagnosis of chronic pan-creatitis: calcifications on imaging; duct morphologic changes on pancreatography; parenchymal changes on ultrasound; or evidence of pancreatic dysfunction on secre-tin/ cholecystokinin stimulation tests. In addition, psychological assessment and qual-ity-of-life measurements are recommended.
引用
收藏
页码:295 / 304
页数:9
相关论文
共 50 条
  • [21] Management of pain in chronic pancreatitis with emphasis on exogenous pancreatic enzymes
    Paul M Hobbs
    William G Johnson
    David Y Graham
    World Journal of Gastrointestinal Pharmacology and Therapeutics, 2016, (03) : 370 - 386
  • [22] Surgery for Chronic Pancreatitis The Role of Early Surgery in Pain Management
    Yang, Catherine J.
    Bliss, Lindsay A.
    Freedman, Steven D.
    Sheth, Sunil
    Vollmer, Charles M.
    Ng, Sing Chau
    Callery, Mark P.
    Tseng, Jennifer F.
    PANCREAS, 2015, 44 (05) : 819 - 823
  • [23] Endoscopic Ultrasound-Guided Management of Pain in Chronic Pancreatitis and Pancreatic Cancer: an Update
    Jonathan M. Wyse
    Anand V. Sahai
    Current Treatment Options in Gastroenterology, 2018, 16 (4) : 417 - 427
  • [24] Pain patterns in chronic pancreatitis and chronic primary pain
    Tuck, N. L.
    Teo, K.
    Kuhlmann, L.
    Olesen, S. S.
    Johnson, M.
    Bean, D. J.
    Rashid, U.
    MacCormick, A. D.
    Srikumar, G.
    Drewes, A. M.
    Windsor, J. A.
    PANCREATOLOGY, 2022, 22 (05) : 572 - 582
  • [25] Pathogenesis of Pain in Chronic Pancreatitis: Ongoing Enigma
    Philippus C. Bornman
    Israel N. Marks
    Andrew W. Girdwood
    Pascal O. Berberat
    Antanas Gulbinas
    Markus W. Büchler
    World Journal of Surgery, 2003, 27 : 1175 - 1182
  • [26] Current surgical management of chronic pancreatitis
    Richard H. Bell
    Journal of Gastrointestinal Surgery, 2005, 9 : 144 - 154
  • [27] Outpatient Pain Management in Children With Chronic Pancreatitis A Scoping Systematic Review
    Perito, Emily R.
    Pohl, John F.
    Bakker, Caitlin
    Armfield, Matthew A.
    Barth, Bradley
    Cuneo, Addison
    Mascarenhas, Maria
    Mehta, Megha
    Schwarzenberg, Sarah Jane
    PANCREAS, 2022, 51 (02) : 135 - 147
  • [28] Treatment of pain in chronic pancreatitis
    Guarner, Luisa
    Abu-Suboh, Monder
    Dot, Joan
    Olsina, Jorge
    GASTROENTEROLOGIA Y HEPATOLOGIA, 2009, 32 (02): : 109 - 115
  • [29] PAIN IN CHRONIC-PANCREATITIS
    JANSEN, JBMJ
    KUIJPERS, JH
    ZITMAN, FJ
    VANDONGEN, R
    SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1995, 30 : 117 - 125
  • [30] PAIN AND CHRONIC-PANCREATITIS
    LEAHY, AL
    CARTER, DC
    EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 1991, 3 (06) : 425 - 433