Abstract
Cancer pain is an important problem from the health and social points of view. Thirty percent of patients affected by cancer have pain at diagnosis, and this percentage increases to 85% in the advanced stages of the disease. Yet, cancer pain can be efficiently controlled in most patients with an integrated program of pharmacological treatments for analgesia and anticancer therapies (radiotherapy, chemotherapy, and hormone therapy) [1].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Venuti FS, Filoni G, Interlandi F, Taglieri D (2001) Trattamento farmacologico del dolore da cancro. Nuove strategie terapeutiche e Qualità di Vita in Oncologia: dalla clinica alla bioetica. Messina. 9–10 March 2001
Carney CP, Jones L, Woolson RF et al (2003) Relationship between depression and pancreatic cancer in the general population. Psychosom Med 65:884–888
Wick JY (2007) Pain in special populations: the cognitively impaired. Pharmacy Times
Frankl V (1987) La sofferenza di una vita senza senso. Psicoterapia per l’uomo di oggi. LDC, Turin
World Health Organization (1986) Cancer pain relief with a guide to opioid availability. World Health Organization, Geneva
Servizio Sanitario Regione Emilia-Romagna (2005) Indications for evaluation and treatment of cancer pain — guideline. Regional Health Service Emilia Romagna, Italy
Hanks GW, Conno F, Cherny N et al; Expert Working Group of the Research Network of the European Association for Palliative Care (2001) Morphine and alternative opioids in cancer pain: the EAPC recommendations. Br J Cancer 84:587–593
Hanks GW (1991) Opioid-responsive and opioid-non-responsive pain cancer. Br Med Bull 47:718–731
Hanks GW, De Conno F, Cherny N et al (2003) Morphine and alternative opioids in cancer pain. J Clin Oncol 21(9 Suppl):87–91
Ambrosio F, Paoletti F, Savoia G et al; SIAARTI (2003) Recommendations on the assessment and treatment of chronic cancer pain. Minerva Anestesiol 69:697–716; 717–729
Sabersky L, Ligham D (1997) Neuroablative techniques for cancer pain management. Techn Reg Anaesth Pain Manag 1:53–58
Mercadante S (1993) Celiac plexus block versus analgesics in pancreatic cancer pain. Pain 52:186–192
Ischia S, Luzzani A (1983) A new approach to the neurolytic block of the celiac plexus:the transaortic technique. Pain 16:333–341
Ischia S, Ischia A (1992) Three posterior percutaneous celiac plexus block techniques. A prospective, randomized study in 61 patients with pancreatic cancer pain. Anestesiology 76:534–540
Gadde PK, Miller DL (1984) CT guidance for celiac plexus neurolysis: posterior and anterior approaches. Reg Anest 9:49
Moore DC, Bush W, Burnett LL (1978) Celiac plexus block: a roentgenographic, anatomic study of technique and spread of solution in patients and corpses. Anesth Analg 60:369–379
Boas RA (1978) Sympathetic blocks in clinical practice. Int Anesthesiol Clin 16:149–157
Ready LB, Edwards WT (1999) Management of acute pain: a practical guide, task force on acute pain, international associate for the study of pain. JASP Press, Seattle
Dahl JB (1993) The value of pre-emptive analgesia in the treatment of post-operative pain. Br J Anaesth 70:434–439
Liu S, Carpenter R, Neal JM et al (1995) Epidural anaesthesia and analgesia. Their role in postoperative outcome. Anesthesiology 82:1474–1506
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Italia
About this chapter
Cite this chapter
Adrario, E., Verdenelli, P., Copparoni, L., Pelaia, P. (2009). Pain Relief in Unresectable Pancreatic Cancer and After Pancreatic Surgery. In: Surgical Treatment of Pancreatic Diseases. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-0856-4_38
Download citation
DOI: https://doi.org/10.1007/978-88-470-0856-4_38
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0855-7
Online ISBN: 978-88-470-0856-4
eBook Packages: MedicineMedicine (R0)