Palliation of pain in chronic pancreatitis: Use of neural blocks and neurotomy

G. Y. Wong, G. H. Sakorafas, G. G. Tsiotos, M. G. Sarr

Research output: Contribution to journalArticle

30 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)873-893
Number of pages21
JournalSurgical Clinics of North America
Volume79
Issue number4
DOIs
StatePublished - 1999

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ASJC Scopus subject areas

  • Surgery

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