Endoscopic Management of Pain due to Chronic Pancreatitis

Arjun Kundra; Daniel S Strand; Vanessa M Shami

doi:10.1016/j.giec.2024.02.003

Endoscopic Management of Pain due to Chronic Pancreatitis

Gastrointest Endosc Clin N Am. 2024 Jul;34(3):433-448. doi: 10.1016/j.giec.2024.02.003. Epub 2024 Mar 19.

Authors

Arjun Kundra¹, Daniel S Strand², Vanessa M Shami³

Affiliations

¹ Department of Gastroenterology and Hepatology, University of Virginia, Charlottesville, VA, USA.
² Department of Gastroenterology, University of Virginia, Charlottesville, VA, USA.
³ Department of Medicine, University of Virginia, Charlottesville, VA, USA. Electronic address: vms4e@uvahealth.org.

PMID: 38796291
DOI: 10.1016/j.giec.2024.02.003

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.

Publication types

Review

MeSH terms

Abdominal Pain / etiology
Celiac Plexus / surgery
Cholangiopancreatography, Endoscopic Retrograde / methods
Endosonography* / methods
Humans
Nerve Block / methods
Pain Management* / methods
Pancreatic Ducts / surgery
Pancreatitis, Chronic* / complications