Guidelines for the understanding and management of pain in chronic pancreatitis

Drewes A. M., Bouwense S. A. W., Campbell C. M., Ceyhan G. O., Delhaye M., Demir I. E., ...More

PANCREATOLOGY, vol.17, no.5, pp.720-731, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 5
  • Publication Date: 2017
  • Doi Number: 10.1016/j.pan.2017.07.006
  • Journal Name: PANCREATOLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.720-731
  • Keywords: Chronic pancreatitis, Pain treatment, SHOCK-WAVE LITHOTRIPSY, ALCOHOL-ASSOCIATED PANCREATITIS, CHRONIC CALCIFIC PANCREATITIS, QUALITY-OF-LIFE, TERM-FOLLOW-UP, ISLET AUTOTRANSPLANTATION, BEHAVIORAL INTERVENTIONS, CENTRAL SENSITIZATION, TOTAL PANCREATECTOMY, ENDOSCOPIC THERAPY
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

Abdominal pain is the foremost complication of chronic pancreatitis (CP). Pain can be related to recurrent or chronic inflammation, local complications or neurogenic mechanisms with corresponding changes in the nervous systems. Both pain intensity and the frequency of pain attacks have been shown to reduce quality of life in patients with CP. Assessment of pain follows the guidelines for other types of chronic pain, where the multidimensional nature of symptom presentation is taken into consideration. Quantitative sensory testing may be used to characterize pain, but is currently used in a research setting in advanced laboratories.