Comprehensive Review of Acute Pancreatitis Pain Syndrome

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY Gastrointestinal disorders (Basel, Switzerland) Pub Date : 2023-04-10 DOI:10.3390/gidisord5020014
Jake Beiriger, Adnan Khan, Binghai Yan, Heather Ross, Makala Wang, Michael Carducci, N. Parra, Salil Chowdhury, Ryan Erwin, Paul Forrest, Sarah L. Chen, Alexis Gerber
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Abstract

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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急性胰腺炎疼痛综合征的综合综述
胰腺炎是一种引起胰腺炎症的疾病,胰腺是位于胃后面的器官。这种情况通常表现为神经性、炎症性和/或内脏疼痛。急性胰腺炎的典型特征是突然和剧烈的腹痛,通常发生在腹部的右上部分。胰腺炎引起的疼痛可由不同的机制引起,如胰腺酶原异常激活或NF-κB介导的胰腺炎症。胰腺炎的治疗取决于其类型、严重程度和潜在原因。住院治疗和药物治疗通常是必要的,而在其他情况下,可能需要手术。胰腺炎的适当管理是必不可少的,因为它可以帮助减少并发症的风险,提高患者的生活质量。关于胰腺炎疼痛管理的文献评估了系统的方法和各种治疗的有效性,如利多卡因、阿片类激动剂、氯胺酮、镁、内窥镜方法、脊髓刺激和其他新的治疗方法,为胰腺炎疼痛管理的探索提供了机会。
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CiteScore
1.50
自引率
0.00%
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审稿时长
10 weeks
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