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Current Treatment Options in Gastroenterology

, Volume 6, Issue 5, pp 375–379 | Cite as

Neurolytic approaches for the treatment of pain in patients with chronic pancreatitis

  • Manoop S. Bhutani
  • P. Jay Pasricha
Article

Opinion statement

In large part, treatment options for patients with painful chronic pancreatitis remain empirical because of our limited understanding of the pathobiology of pancreatic pain. The procedures of neural block/ablation exemplify these limitations, which include the lack of a clear biologic rationale for various approaches, as well as unequivocal data on long-term outcomes and efficacy. Although the techniques themselves appear to be well established, controlled trials of various medical, endoscopic, radiologic, and surgical options to define the best treatment are clearly needed. In addition, the lack of uniform improvement with any technique underscores the need for applying a multidisciplinary approach to these patients, as should be the case for any chronic pain disorder.

Keywords

Chronic Pancreatitis Bupivacaine Celiac Artery Celiac Plexus Celiac Plexus Block 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Current Science Inc 2003

Authors and Affiliations

  • Manoop S. Bhutani
    • 1
  • P. Jay Pasricha
    • 1
  1. 1.Division of Gastroenterology and HepatologyUniversity of Texas Medical BranchGalvestonUSA

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