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Current Treatment Options in Gastroenterology

Published in:

01-09-2016 | Pancreas (T Stevens, Section Editor)

Interventional Pain Management Approaches for Control of Chronic Pancreatic Pain

Authors: Leonardo Kapural, MD PhD, Suneil Jolly, MD

Published in: Current Treatment Options in Gastroenterology | Issue 3/2016

Opinion statement

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.

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Title: Interventional Pain Management Approaches for Control of Chronic Pancreatic Pain
Authors: Leonardo Kapural, MD PhD
Suneil Jolly, MD
Publication date: 01-09-2016
Publisher: Springer US
Published in: Current Treatment Options in Gastroenterology / Issue 3/2016
Print ISSN: 1092-8472
Electronic ISSN: 1534-309X
DOI: https://doi.org/10.1007/s11938-016-0100-4

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