Psychological Evaluation and Management of Chronic Pancreatitis

Gastroenterol Clin North Am. 2022 Dec;51(4):799-813. doi: 10.1016/j.gtc.2022.07.006. Epub 2022 Oct 20.

Abstract

Chronic pancreatitis is a chronic digestive disorder that greatly diminishes the quality of life and is associated with significant psychological distress. A best practice recommendation in treating chronic pancreatitis is offering care in a multidisciplinary model that includes access to a behavioral health provider among other medical professionals. Behavioral interventions for patients with chronic pancreatitis have promise to improve the management of pain, comorbid psychiatric symptoms, and quality of life. If surgical interventions such as a total pancreatectomy islet autotransplant are considered, evaluating and mitigating psychosocial risk factors may aid the selection of appropriate candidates.

Keywords: Chronic pancreatitis; Pain; Psychogastroenterology; Total pancreatectomy islet auto transplant.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Humans
  • Islets of Langerhans Transplantation*
  • Pancreatectomy / adverse effects
  • Pancreatitis, Chronic* / complications
  • Pancreatitis, Chronic* / therapy
  • Quality of Life / psychology
  • Treatment Outcome