TY - JOUR
T1 - Palliation of pain in chronic pancreatitis
T2 - Use of neural blocks and neurotomy
AU - Wong, G. Y.
AU - Sakorafas, G. H.
AU - Tsiotos, G. G.
AU - Sarr, M. G.
PY - 1999/1/1
Y1 - 1999/1/1
N2 - Effective management of the pain of chronic pancreatitis may require a multidisciplinary approach involving gastroenterologists, anesthesiologists, psychologists or counselors for chemical addiction (alcohol, narcotics), and surgeons. Viable approaches use pharmacologic analgesics with selected psychotropic medications, celiac plexus blocks, and possibly thoracoscopic splanchnic nerve transections. If these management techniques that preserve pancreatic parenchyma and function fail, resective surgical therapy may be indicated. For most of these patients, all attempts at nonresective therapy should be exhausted before operative intervention.
AB - Effective management of the pain of chronic pancreatitis may require a multidisciplinary approach involving gastroenterologists, anesthesiologists, psychologists or counselors for chemical addiction (alcohol, narcotics), and surgeons. Viable approaches use pharmacologic analgesics with selected psychotropic medications, celiac plexus blocks, and possibly thoracoscopic splanchnic nerve transections. If these management techniques that preserve pancreatic parenchyma and function fail, resective surgical therapy may be indicated. For most of these patients, all attempts at nonresective therapy should be exhausted before operative intervention.
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U2 - 10.1016/S0039-6109(05)70049-9
DO - 10.1016/S0039-6109(05)70049-9
M3 - Article
C2 - 10470333
AN - SCOPUS:0032817133
SN - 0039-6109
VL - 79
SP - 873
EP - 893
JO - Surgical Clinics of North America
JF - Surgical Clinics of North America
IS - 4
ER -