Endoscopic Management of Pain due to Chronic Pancreatitis.

Kundra, Arjun; Strand, Daniel S; Shami, Vanessa M

Kundra, Arjun; Strand, Daniel S; Shami, Vanessa M.

Afiliação

Kundra A; Department of Gastroenterology and Hepatology, University of Virginia, Charlottesville, VA, USA.
Strand DS; Department of Gastroenterology, University of Virginia, Charlottesville, VA, USA.
Shami VM; Department of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: vms4e@uvahealth.org.

Gastrointest Endosc Clin N Am ; 34(3): 433-448, 2024 Jul.

Article em En | MEDLINE | ID: mdl-38796291

ABSTRACT

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.

Assuntos

Endossonografia; Manejo da Dor; Pancreatite Crônica; Humanos; Pancreatite Crônica/complicações; Endossonografia/métodos; Manejo da Dor/métodos; Plexo Celíaco/cirurgia; Ductos Pancreáticos/cirurgia; Bloqueio Nervoso/métodos; Dor Abdominal/etiologia; Colangiopancreatografia Retrógrada Endoscópica/métodos

Palavras-chave

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

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Endossonografia / Pancreatite Crônica / Manejo da Dor Limite: Humans Idioma: En Ano de publicação: 2024 Tipo de documento: Article

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