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Pancreatic pain

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NECHUTOVÁ Hana DÍTĚ Petr HERMANOVÁ Markéta NOVOTNÝ Ivo MARTINEK Arnost KLVANA Pavel KIANIČKA Bohuslav SOUČEK Miroslav

Rok publikování 2014
Druh Článek v odborném periodiku
Časopis / Zdroj Wiener Medizinische Wochenschrift
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.1007/s10354-014-0265-1
Obor Ostatní obory vnitřního lékařství
Klíčová slova Pain; Nociceptive; Neuropathic and inflammatory pain; Sensitization; Neuroplastic changes; Neuromodulation; Pain in pancreatopathies; Stratification of analgesic treatment
Popis Pain is a common symptom of many diseases. Recently, the pain has been classified and analyzed exactly. Its particular components/types are described to the maximum of their depths and details. That is why each particular pain present in a specific disease (pancreatopathies included) has to be treated according to the presence of the specific type of pain. In diseases of pancreas, there are nociceptive, neuropathic, and inflammatory components of pain participating, frequently. Especially long-lasting, not well-controlled pain sets off the process of neuromodulation. The recent pioneering applications/administrations of various neuromodulatory therapeutic approaches represent the promising discoveries for the treatment of long-term, severe, drug-resistant pain syndromes, including chronic pancreatitis. In this article, we summarized the characteristics of pain, the therapeutic strategy, and algorithms of analgesic treatment (in general and applied for pancreatopathies), including new therapeutic trends and approaches.

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