Non-pharmacological pain palliation methods in chronic pancreatitis

Core Tip

Core Tip: The management of chronic pancreatitis (CP) involves careful planning of surgical interventions to prevent pain from becoming chronic and autonomous, potentially leading to opioid dependency. Early surgery, within the first three years of symptom onset, is associated with better outcomes. Surgical procedures aim to address pancreatic and bile duct obstructions and can be drainage or resection-based, depending on the patient's condition. Minimally invasive and endoscopic options are also available. A multidisciplinary approach, including interventions like celiac plexus blocking, percutaneous nerve stimulation, and acupuncture, can be considered, although further research is needed to confirm their effectiveness. Decision-making should involve input from healthcare providers to determine the most suitable treatment for each CP patient. Additionally, for calcified CP with strictures and calculi, extracorporeal shock-wave lithotripsy is a potential option, with the type and timing of endoscopic treatment tailored to the patient's needs.