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Articles Published Processes
9/12/2014 8:40:00 PM | Browse: 1149 | Download: 1132
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Received |
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2013-07-10 08:48 |
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Peer-Review Started |
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2013-07-10 09:21 |
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To Make the First Decision |
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2013-07-26 18:43 |
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Return for Revision |
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2013-07-29 14:21 |
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Revised |
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2013-07-31 15:51 |
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Second Decision |
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2013-08-06 16:47 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-08-06 23:18 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2013-10-08 17:39 |
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Publish the Manuscript Online |
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2013-10-15 17:26 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Editorial |
Article Title |
Pain in chronic pancreatitis: Managing beyond the pancreatic duct
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Manuscript Source |
Invited Manuscript |
All Author List |
Rupjyoti Talukdar and D Nageshwar Reddy |
Funding Agency and Grant Number |
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Corresponding Author |
Rupjyoti Talukdar, MD, Clinical Pancreatologist, Department of Medical Gastroenterology, Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad 500082, India. rup_talukdar@yahoo.com
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Key Words |
Pain; Chronic pancreatitis; Nociception; Neuroplasticity; Antioxidant micronutrients; Pregabalin; Pancreatic enzymes |
Core Tip |
Pain in chronic pancreatitis (CP) has multiple but simultaneously occurring mechanisms. Recent data have shown expression of nociceptors and neurotrophic factors in different neural locations. The expression of these and other neural chemokines (fractalkine) have positive correlation with pain. Pain also results from global sensitization. Among the therapeutic modalities, beneficial effects have been demonstrated with methionine containing antioxidant micronutrients supplements and pregabalin. Of the pancreatic enzymes, only non-enteric coated preparations might benefit a subgroup of patients. The threshold for performing celiac neurolysis should be high in view of variable response across clinical trials. |
Publish Date |
2013-10-15 17:26 |
Citation |
Talukdar R, Reddy DN. Pain in chronic pancreatitis: Managing beyond the pancreatic duct. World J Gastroenterol 2013; 19(38): 6319-6328 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i38/6319.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i38.6319 |
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