Abstract
Chronic pancreatitis (CP) is an inflammatory process characterized by destruction of pancreatic parenchyma and ductal structures with formation of fibrosis. Pain is the predominant symptom of CP and its origin is multifactorial. 1 Steer M.L. Waxman I. Freedman S. Chronic pancreatitis. N Engl J Med. 1995; 332: 1482-1490 Crossref PubMed Scopus (579) Google Scholar Treatment is directed toward control of symptoms and management of the structural complications. Medical therapies such as abstinence from alcohol, dietary alterations, analgesics, oral enzyme supplements, and somatostatin analogs are variably effective in relieving pain. In patients for whom medical management fails, surgical and endoscopic options are available.
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