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
[41]   Endoscopic treatment of pain in chronic pancreatitis [J].
Moran, Robert A. ;
Elmunzer, B. Joseph .
CURRENT OPINION IN GASTROENTEROLOGY, 2018, 34 (06) :469-476
[42]   Medical therapy for chronic pancreatitis pain [J].
Virmeet V. Singh ;
Phillip P. Toskes .
Current Gastroenterology Reports, 2003, 5 (2) :110-116
[43]   Surgical treatment of pain in chronic pancreatitis [J].
Skube, Mariya E. ;
Beilman, Greg J. .
CURRENT OPINION IN GASTROENTEROLOGY, 2018, 34 (05) :317-321
[44]   Pain in chronic pancreatitis: mechanics or molecules? [J].
Demir, Elke ;
Safak, Okan ;
Friess, Helmut ;
Demir, Ihsan Ekin .
PAIN MANAGEMENT, 2020, 10 (04) :205-208
[45]   Pain and chronic pancreatitis: Is it the plumbing or the wiring? [J].
Anaparthy R. ;
Pasricha P.J. .
Current Gastroenterology Reports, 2008, 10 (2) :101-106
[46]   Chronic pancreatitis and pain -: Surgical view [J].
Mueller, Sascha A. ;
Welsch, Thilo ;
Kleeff, Joerg ;
Schmied, Bruno M. ;
Buechler, Markus W. ;
Friess, Helmut ;
Schmidt, Jan .
CHIRURGISCHE GASTROENTEROLOGIE, 2006, 22 :21-26
[47]   16. Pain in chronic pancreatitis [J].
van Zeggeren, Laura ;
Nabbi, Raha Boelens ;
Kallewaard, Jan Willem ;
Steegers, Monique ;
Cohen, Steven P. ;
Kapural, Leonardo ;
van Santvoort, Hjalmar ;
Wolff, Andre .
PAIN PRACTICE, 2025, 25 (04)
[48]   The Use of Pulsed Radiofrequency Treatment for Chronic Benign Pancreatitis Pain [J].
Brennan, Louise ;
Fitzgerald, Joseph ;
McCrory, Connail .
PAIN PRACTICE, 2009, 9 (02) :135-140
[49]   Surgical management of chronic pancreatitis [J].
Stavros Gourgiotis ;
Stylianos Germanos ;
Marco Pericoli Ridolfini .
Hepatobiliary&PancreaticDiseasesInternational, 2007, (02) :121-133
[50]   Endoscopic management of chronic pancreatitis [J].
Veeral M Oza ;
Michel Kahaleh .
World Journal of Gastrointestinal Endoscopy, 2013, (01) :19-28