ألم البطن في التهاب البنكرياس المزمن عندما لم يُجدِ الترامادول نفعاً

References

DOI: 10.1007/s00535-022-01911-6

• Abdominal pain is the main symptom during the latent to compensatory stage, when there is no obvious impairment of pancreatic endocrine and exocrine function.
• In the compensated stage, prevention of repeated relapses and pain takes priority.
• If adequate doses of NSAIDs or weak opioids are ineffective, consider endoscopic treatment or surgery.
• Endoscopic treatment is used in patients with abdominal pain resulting from obstruction of the pancreatic duct.
• Strong opioids should be reserved for patients for whom these treatments are not indicated.