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Review
. 2024 Jul;34(3):433-448.
doi: 10.1016/j.giec.2024.02.003. Epub 2024 Mar 19.

Endoscopic Management of Pain due to Chronic Pancreatitis

Arjun Kundra  1 , Daniel S Strand  2 , Vanessa M Shami  3
Affiliations
Review

Endoscopic Management of Pain due to Chronic Pancreatitis

Arjun Kundra et al. Gastrointest Endosc Clin N Am. 2024 Jul.

Abstract

Pain secondary to chronic pancreatitis is a poorly understood and complex phenomenon. Current endoscopic treatments target pancreatic duct decompression secondary to strictures, stones, or inflammatory and neoplastic masses. When there is refractory pain and other treatments have been unsuccessful, one can consider an endoscopic ultrasound-guided celiac plexus block. Data on the latter are underwhelming.

Keywords: Celiac plexus block; Chronic pancreatitis; ESWL; Extracorporeal shockwave lithotripsy; Pain; Pancreatic duct obstruction; Pancreatic duct stones.

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Conflict of interest statement

Disclosure A. Kundra and D.S. Strand has nothing to disclose. V.M. Shami: Consultant for Cook Medical, Olympus America, and Boston Scientific.

MeSH terms