Palliation of Pain in Chronic Pancreatitis: Use of Neural Blocks and Neurotomy  

Oleh:

Wong, Gilbert Y. ; Sakorafas, George H. ; Tsiotos, Gregory C. ; Sarr, Michael C.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 79 no. 4 (Agu. 1999), page 873.

Isi artikel

The pain of chronic pancreatitis is the most difficult symptom to manage effectively, probably in part because the origin of the pain is multifactorial. Trials of non-narcotic analgesics, often supplemented with psychotropic agents, may prove effective in selected patients, but more aggressive, invasive measures are often necessary. Percutaneous celiac plexus blocks with depot steroid preparations and most recently splanchnic nerve transection by way of a minimal access approach (thoracoscopy) have become of interest as nonresectional approaches to palliate pain. Operative splanchnic nerve transection and operative ganglionectomy have not been satisfactory or successful in long-term studies.

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