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
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