Pain management in chronic pancreatitis incorporating safe opioid practices: Challenge accepted

World J Gastroenterol. 2021 Jun 21;27(23):3142-3147. doi: 10.3748/wjg.v27.i23.3142.

Abstract

Patients with chronic pancreatitis often experience severe, unrelenting abdominal pain, which can significantly impact their quality of life. Pain control, therefore, remains central to the overall management of chronic pancreatitis. Most of the strategies aimed at treating the pain of chronic pancreatitis are based on expert opinion and vary from one institution to another, as there are no uniform guidelines to direct a stepwise approach towards achieving this goal. In this editorial, we comment on best practice strategies targeted towards pain control in chronic pancreatitis, specifically highlighting the use of opioid medications in this patient population. We discuss various safe and efficacious prescription monitoring practices in this article.

Keywords: Chronic pain; Chronic pancreatitis; Opioid use disorder; Pain management; Prescription opioid abuse; Prescription opioid misuse.

Publication types

  • Editorial

MeSH terms

  • Analgesics, Opioid / adverse effects
  • Chronic Pain* / diagnosis
  • Chronic Pain* / drug therapy
  • Chronic Pain* / etiology
  • Humans
  • Pain Management
  • Pancreatitis, Chronic* / complications
  • Pancreatitis, Chronic* / drug therapy
  • Quality of Life

Substances

  • Analgesics, Opioid