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Published on: February 28, 2021
Pancreatic pain: a mini review.
Ricardo A Cruciani1, Subhash Jain
1Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY 10003, USA. rcruciani@chpnet.org
Summary
Effective pain management in pancreatitis requires recognizing pain type (nociceptive or neuropathic) and employing tailored pharmacological and non-pharmacological strategies. A multidisciplinary approach is key for successful symptom control.
Area of Science:
- Gastroenterology
- Pain Medicine
- Pharmacology
Background:
- Pain management is crucial for treating pancreatitis.
- Various strategies, including pharmacological and non-pharmacological, exist for symptom management.
- Differentiating between nociceptive and neuropathic pain is vital for effective treatment.
Purpose of the Study:
- To outline current strategies for pain management in pancreatitis.
- To emphasize the importance of pain type identification for treatment selection.
- To discuss the role of pharmacological interventions, interventional procedures, and multidisciplinary approaches.
Main Methods:
- Review of pharmacological options: adjuvant analgesics, NSAIDs, opioids.
- Consideration of interventional procedures like celiac block.
- Highlighting the need for a multidisciplinary approach.
- Discussion on opioid use in acute versus chronic pancreatitis and monitoring for misuse.
Main Results:
- A substantial pharmacological armamentarium is available, tailored to pain etiology.
- Interventional procedures should be considered for suboptimal pain relief.
- Opioid use is accepted in acute pancreatitis but controversial in chronic forms, requiring careful monitoring.
- A multidisciplinary approach yields high success in managing pancreatitis symptoms.
Conclusions:
- Tailored pain management strategies, considering pain type and etiology, are essential for pancreatitis.
- Pharmacological and interventional options should be integrated.
- Careful consideration and monitoring are necessary for opioid use, especially in chronic pancreatitis.
- Multidisciplinary care optimizes outcomes for complex pancreatitis patients.
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