Interventional Pain Management Approaches for Control of Chronic Pancreatic Pain

Overview

Journal Curr Treat Options Gastroenterol

Specialty Gastroenterology

Date 2016 Jul 2

PMID 27363978

Citations 2

Authors

Leonardo Kapural

Suneil Jolly

Affiliations

Soon will be listed here.

Abstract

Treatment of persistent pain from chronic pancreatitis historically was difficult to treat. For years, focus was on opioid and other analgesics and psychological treatments. Recent studies provided evidence for decrease in analgesic intake and pain scores after properly conducted sympathetic blocks (celiac, splanchnic nerve blocks). These therapies should be considered as parts of a multimodal analgesic strategy. Animal studies suggest that spinal cord stimulation suppresses visceral hyperalgesia. Large case series of spinal cord stimulation demonstrated a significant pain relief in patients with chronic pancreatitis. Given the limitations of conservative and surgical treatments for chronic visceral pain, spinal cord stimulation may be a very useful therapeutic option.

Citing Articles

Endoscopic Ultrasound-Guided Management of Pain in Chronic Pancreatitis and Pancreatic Cancer: an Update.

Wyse J, Sahai A Curr Treat Options Gastroenterol. 2018; 16(4):417-427.

PMID: 30209676 DOI: 10.1007/s11938-018-0193-z.

Opioid misuse in gastroenterology and non-opioid management of abdominal pain.

Szigethy E, Knisely M, Drossman D Nat Rev Gastroenterol Hepatol. 2017; 15(3):168-180.

PMID: 29139482 PMC: 6421506. DOI: 10.1038/nrgastro.2017.141.

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