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Editorial
. 2024 Apr 26;12(12):2016-2022.
doi: 10.12998/wjcc.v12.i12.2016.

Pain management in chronic pancreatitis

Deb Sanjay Nag  1 , Bhanu Pratap Swain  2 , Rishi Anand  2 , Tapas Kumar Barman  2 , Vatsala  2
Affiliations
Editorial

Pain management in chronic pancreatitis

Deb Sanjay Nag et al. World J Clin Cases. .

Abstract

Pain in chronic pancreatitis (CP) is difficult to manage. Many patients suffer from inadequate pain relief, completely incapacitating them in their daily activities. Historically, despite their well-known adverse effects, opioids have been the pillar of treatment regimens in painful CP. The management is now gradually evolving with a better understanding of the underlying pathophysiology of CP-related pain. Clinicians should follow a holistic approach to the management of CP-associated pain, which must involve lifestyle changes that are coupled with analgesic medications and other pain-relieving interventions. Furthermore, there is no easy cure for vanquishing CP-associated pain. Each patient must be evaluated on a case-by-case basis by a multidisciplinary team to decide which treatment option is best suited for that individual.

Keywords: Abdominal pain; Analgesics; Life style; Palliative care; Pancreatitis; Psychology.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Mechanism of pain in chronic pancreatitis.
Figure 2
Figure 2
Intervention methods in chronic pancreatitis. NSAIDS: Non-steroidal anti-inflammatory drugs; ESWL: Extracorporeal shock wave lithotripsy; CBT: Cognitive behavioral therapy; SSRI: Selective serotonin reuptake inhibitors; SNRI: Selective norepinephrine reuptake inhibitors; TCA: Tricyclic antidepressants; -: No response/Inadequate response.
See this image and copyright information in PMC

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