Gastrointestinal Disorders (Apr 2023)

Comprehensive Review of Acute Pancreatitis Pain Syndrome

  • Jacob Beiriger,
  • Adnan Khan,
  • Brian Yan,
  • Heather Ross,
  • Makala Wang,
  • Michael Carducci,
  • Natalia Salinas Parra,
  • Salil Chowdhury,
  • Ryan Erwin,
  • Paul Forrest,
  • Sarah Chen,
  • Alexis Gerber

DOI
https://doi.org/10.3390/gidisord5020014
Journal volume & issue
Vol. 5, no. 2
pp. 144 – 166

Abstract

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Pancreatitis is a condition that causes inflammation in the pancreas, an organ located behind the stomach. This condition often presents as neuropathic, inflammatory, and/or visceral pain. Acute pancreatitis is typically characterized by sudden and severe abdominal pain, often in the upper right part of the abdomen. The pain from pancreatitis can be caused by different mechanisms, such as abnormal activation of pancreatic zymogens or NF-κB mediated inflammation in the pancreas. The treatment of pancreatitis depends on its type, severity, and underlying cause. Hospitalization and medications are typically necessary, while in others, surgery may be required. Proper management of pancreatitis is essential, as it can help reduce the risk of complications and improve the patient’s quality of life. The literature on pancreatitis pain management evaluates systematic approaches and the effectiveness of various treatments, such as lidocaine, opioid agonists, ketamine, magnesium, endoscopic methods, spinal cord stimulation, and other novel treatments present opportunities for exploration in pancreatitis pain management.

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