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- Title
Endotherapy for pain in chronic pancreatitis.
- Authors
Khanna, Sudeep; Tandon, Rakesh K.
- Abstract
Pain is the most distressing symptom of chronic pancreatitis. Although the pathogenesis of pain is still poorly understood, an increase in intraductal pressure may be the dominant factor. The management of pain can involve medical, endoscopic, neurolytic, and surgical therapies. Endotherapy includes pancreatic sphincterotomy, extraction of stones, placement of stent, and dilatation of strictures, sometimes preceded or followed by extracorporeal shock-wave lithotripsy. Several studies have now shown that endotherapy provides partial or complete relief of pancreatic pain in a majority of patients with an acceptable frequency of early and late complications. Endotherapy should now graduate from an experimental form of treatment to a realistic treatment option in patients with chronic or relapsing pain, particularly in the setting of calcific chronic pancreatitis.
- Subjects
PANCREATITIS treatment; EXTRACORPOREAL shock wave lithotripsy; ENDOSCOPIC retrograde cholangiopancreatography; SURGICAL stents; ENDOSCOPY; PAIN
- Publication
Journal of Gastroenterology & Hepatology, 2008, Vol 23, Issue 11, p1649
- ISSN
0815-9319
- Publication type
Article
- DOI
10.1111/j.1440-1746.2008.05660.x