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Pain in chronic pancreatitis
J B Jansen1, J H Kuijpers, F J Zitman
1Dept. of Gastroeneterology, University Hospital St. Radboud, Nijmegen, The Netherlands.
Scandinavian Journal of Gastroenterology. Supplement
|January 1, 1995
Summary
Managing chronic pancreatitis pain is challenging due to its intensity. Treatment options range from medical therapy and endoscopic procedures to surgical interventions like pancreatic resection.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Chronic pancreatitis causes severe, persistent pain, complicating patient management.
- Limited controlled studies exist for many recommended pain-relief therapies.
Purpose of the Study:
- To outline the multifaceted approach to managing pain in chronic pancreatitis.
- To discuss various therapeutic options and their indications.
Main Methods:
- Review of current therapeutic strategies for chronic pancreatitis pain.
- Discussion of medical, endoscopic, and surgical interventions.
- Consideration of factors influencing treatment decisions.
Main Results:
- Medical therapy is the initial approach, often followed by drainage procedures for pseudocysts or duct dilation.
- Endoscopic removal of stones and strictures can alleviate pain in select patients.
- Surgical options, including resection (e.g., Whipple) and denervation, are considered when other methods fail, with duodenum-preserving resections offering potential advantages.
Conclusions:
- Treatment for chronic pancreatitis pain requires a tailored approach based on individual patient factors.
- A combination of medical, endoscopic, and surgical interventions may be necessary.
- Careful consideration of the risks and benefits of each procedure is crucial for optimal patient outcomes.