Publication Name	World Journal of Clinical Cases
Manuscript ID	88907
Country	Türkiye

Category	Gastroenterology & Hepatology
Manuscript Type	Minireviews
Article Title	Non-pharmacological pain palliation methods in chronic pancreatitis
Manuscript Source	Invited Manuscript
All Author List	Mesut Tez, Eda Şahingöz and Hüseyin Fahri Martlı
Funding Agency and Grant Number
Corresponding Author	Mesut Tez, MD, Chief Physician, Department of Surgery, University of Health Sciences, Ankara City Hospital, District of Universities, Bilkent Street No. 1, Ankara 06800, Türkiye. mesuttez@yahoo.com
Key Words	Chronic pancreatitis; Pain; Surgery; Endoscopy
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.
Citation	Tez M, Şahingöz E, Martlı HF. Non-pharmacological pain palliation methods in chronic pancreatitis. World J Clin Cases 2023; 11(35): 8263-8269

Received	2023-10-14 07:38
Peer-Review Started	2023-10-14 07:40
To Make the First Decision
Return for Revision	2023-10-30 11:12
Revised	2023-10-30 17:41
Second Decision	2023-11-24 12:35
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2023-12-01 06:28
Articles in Press	2023-12-01 06:28
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript	2023-12-11 04:47

ISSN	2307-8960 (online)
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