Pancreatic pain

Wien Med Wochenschr. 2014 Feb;164(3-4):63-72. doi: 10.1007/s10354-014-0265-1. Epub 2014 Mar 12.

Abstract

Pain is a common symptom of many diseases. Recently, the pain has been classified and analyzed exactly. Its particular components/types are described to the maximum of their depths and details. That is why each particular pain present in a specific disease (pancreatopathies included) has to be treated according to the presence of the specific type of pain. In diseases of pancreas, there are nociceptive, neuropathic, and inflammatory components of pain participating, frequently. Especially long-lasting, not well-controlled pain sets off the process of neuromodulation. The recent pioneering applications/administrations of various neuromodulatory therapeutic approaches represent the promising discoveries for the treatment of long-term, severe, drug-resistant pain syndromes, including chronic pancreatitis. In this article, we summarized the characteristics of pain, the therapeutic strategy, and algorithms of analgesic treatment (in general and applied for pancreatopathies), including new therapeutic trends and approaches.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Chronic Pain / physiopathology*
  • Chronic Pain / therapy
  • Humans
  • Inflammation Mediators / metabolism
  • Neuralgia / physiopathology
  • Neuralgia / therapy
  • Neuronal Plasticity / physiology
  • Neurotransmitter Agents / physiology
  • Nociceptors / physiology
  • Pain Management / methods
  • Pancreas / innervation
  • Pancreatic Diseases / physiopathology*
  • Pancreatic Diseases / therapy
  • Pancreatitis, Chronic / physiopathology
  • Pancreatitis, Chronic / therapy

Substances

  • Inflammation Mediators
  • Neurotransmitter Agents