| Endotherapy for pain in chronic pancreatitis. | |
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MedLine Citation:
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PMID: 19120857 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pain is the most distressing symptom of chronic pancreatitis. Although the pathogenesis of pain is still poorly understood, an increase in intraductal pressure may be the dominant factor. The management of pain can involve medical, endoscopic, neurolytic, and surgical therapies. Endotherapy includes pancreatic sphincterotomy, extraction of stones, placement of stent, and dilatation of strictures, sometimes preceded or followed by extracorporeal shock-wave lithotripsy. Several studies have now shown that endotherapy provides partial or complete relief of pancreatic pain in a majority of patients with an acceptable frequency of early and late complications. Endotherapy should now graduate from an experimental form of treatment to a realistic treatment option in patients with chronic or relapsing pain, particularly in the setting of calcific chronic pancreatitis. |
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Authors:
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Sudeep Khanna; Rakesh K Tandon |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of gastroenterology and hepatology Volume: 23 ISSN: 1440-1746 ISO Abbreviation: J. Gastroenterol. Hepatol. Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2009-01-05 Completed Date: 2009-04-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8607909 Medline TA: J Gastroenterol Hepatol Country: Australia |
Other Details:
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Languages: eng Pagination: 1649-56 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Pushpawati Singhania Reasearch Institute for Liver, Renal & Digestive Diseases, New Delhi, India. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Balloon Dilatation Cholangiopancreatography, Endoscopic Retrograde Digestive System Surgical Procedures* / adverse effects, instrumentation Endoscopy, Digestive System* / adverse effects, instrumentation Humans Lithotripsy Pain / etiology, prevention & control* Pain Measurement Pancreas / physiopathology, radiography Pancreatitis, Chronic / complications, physiopathology, radiography, therapy* Pressure Recurrence Sphincterotomy, Endoscopic Stents Tomography, X-Ray Computed Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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