The Endoscopic Management of Pain in Chronic Pancreatitis

Pain resulting from chronic pancreatitis is often debilitating and difficult to manage. Many approaches have been used to treat these patients, including narcotic analgesia, antidepressants, pancreatic enzymes, octreotide, denervation procedures, such as celiac plexus block, and various palliative,...

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Main Authors: Adam J. Goodman, Frank G. Gress
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/860879
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author Adam J. Goodman
Frank G. Gress
author_facet Adam J. Goodman
Frank G. Gress
author_sort Adam J. Goodman
collection DOAJ
description Pain resulting from chronic pancreatitis is often debilitating and difficult to manage. Many approaches have been used to treat these patients, including narcotic analgesia, antidepressants, pancreatic enzymes, octreotide, denervation procedures, such as celiac plexus block, and various palliative, decompression, or drainage procedures. Many of these procedures can be performed endoscopically, while others require a more invasive, surgical approach. The effectiveness of these therapies is not only highly variable but also often controversial. This review will discuss the endoscopic options for pain management in patients with chronic pancreatitis and their utility in treating this difficult disease.
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spelling doaj-art-6ed8c795afb545a785a0af66c9e8e18f2025-02-03T01:31:49ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/860879860879The Endoscopic Management of Pain in Chronic PancreatitisAdam J. Goodman0Frank G. Gress1Division of Gastroenterology and Hepatology, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USADivision of Gastroenterology and Hepatology, Department of Medicine, SUNY Downstate Medical Center, Brooklyn, NY 11203, USAPain resulting from chronic pancreatitis is often debilitating and difficult to manage. Many approaches have been used to treat these patients, including narcotic analgesia, antidepressants, pancreatic enzymes, octreotide, denervation procedures, such as celiac plexus block, and various palliative, decompression, or drainage procedures. Many of these procedures can be performed endoscopically, while others require a more invasive, surgical approach. The effectiveness of these therapies is not only highly variable but also often controversial. This review will discuss the endoscopic options for pain management in patients with chronic pancreatitis and their utility in treating this difficult disease.http://dx.doi.org/10.1155/2012/860879
spellingShingle Adam J. Goodman
Frank G. Gress
The Endoscopic Management of Pain in Chronic Pancreatitis
Gastroenterology Research and Practice
title The Endoscopic Management of Pain in Chronic Pancreatitis
title_full The Endoscopic Management of Pain in Chronic Pancreatitis
title_fullStr The Endoscopic Management of Pain in Chronic Pancreatitis
title_full_unstemmed The Endoscopic Management of Pain in Chronic Pancreatitis
title_short The Endoscopic Management of Pain in Chronic Pancreatitis
title_sort endoscopic management of pain in chronic pancreatitis
url http://dx.doi.org/10.1155/2012/860879
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