Abstract
We have no ideal treatment for the suppression of hormonal secretory mechanisms and neural secretory mechanisms, or for the control of pain. These must await a better understanding of the exact mechanisms leading to the production of pancreatitis. Suppression of secretion is probably best maintained by gastric suction in severe cases, accompanied by parenteral anticholinergic drugs. The usual pain with pancreatitis is best controlled by Demerol, and more severe pain by repeated use of epidural local anesthetic block. Steroids are not commonly used because their danger is greater than their helpfulness. Diamox and other less commonly used drugs, though theoretically helpful, have not been tried frequently enough in patients with pancreatitis to assay their real value in this disease.
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