Chronic pancreatitis medical therapy: Difference between revisions
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* Management of complications<ref name="pmid18319401">{{cite journal |vauthors=Callery MP, Freedman SD |title=A 21-year-old man with chronic pancreatitis |journal=JAMA |volume=299 |issue=13 |pages=1588–94 |year=2008 |pmid=18319401 |doi=10.1001/jama.299.9.jrr80001 |url=}}</ref> | * Management of complications<ref name="pmid18319401">{{cite journal |vauthors=Callery MP, Freedman SD |title=A 21-year-old man with chronic pancreatitis |journal=JAMA |volume=299 |issue=13 |pages=1588–94 |year=2008 |pmid=18319401 |doi=10.1001/jama.299.9.jrr80001 |url=}}</ref> | ||
== Pain management: == | |||
Pain is managed in a stepwise approach of | Pain is managed in a stepwise approach of | ||
* General recommendations | * General recommendations | ||
| Line 33: | Line 33: | ||
=== Antioxidants: === | === Antioxidants: === | ||
=== | === Specialized approaches: === | ||
====== (a) Celiac nerve block ====== | |||
====== (b) Endoscopic therapy ====== | |||
====== (c) Extracorporeal shock wave lithotripsy ====== | |||
====== (d) Radiation ====== | |||
== Management of Steatorrhea: == | |||
====== (a) Dietary modification ====== | |||
====== (b) Lipase supplementation ====== | |||
====== (c) Vitamin supplementation ====== | |||
====== (d) Medium chain triglycerides ====== | |||
== Management of glucose intolerance: == | |||
== Management of other pancreatic complications: == | |||
==References== | ==References== | ||
Revision as of 17:25, 7 November 2017
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Risk calculators and risk factors for Chronic pancreatitis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
The goals of management are:
- Pain control
- Management of pancreatic insufficiency by pancreatic enzyme replacement
- Management of complications[1]
Pain management:
Pain is managed in a stepwise approach of
- General recommendations
- Pancreatic enzyme replacement
- Analgesics
- Other invasive procedures
General recommendations:
Most of the patients usually improve following the general recommendations with only a few requiring analgesics.
(a) Smoking cessation:
(b) Cessation of alcohol intake:
(c) Small meals and hydration
Pancreatic Enzyme Supplementation:
Analgesics:
Antioxidants:
Specialized approaches:
(a) Celiac nerve block
(b) Endoscopic therapy
(c) Extracorporeal shock wave lithotripsy
(d) Radiation
Management of Steatorrhea:
(a) Dietary modification
(b) Lipase supplementation
(c) Vitamin supplementation
(d) Medium chain triglycerides
Management of glucose intolerance:
Management of other pancreatic complications:
References
- ↑ Callery MP, Freedman SD (2008). "A 21-year-old man with chronic pancreatitis". JAMA. 299 (13): 1588–94. doi:10.1001/jama.299.9.jrr80001. PMID 18319401.