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Query: UMLS:C0184567 (acute pain)
 3,962 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We investigated the relationship between pain, intraductal and parenchymal pancreatic pressures and oxygen partial pressure in 39 patients who underwent surgery for chronic pancreatitis with intractable pain. Acute pain was correlated with parenchymal pressure; correlation between pain and oxygen pressure could not be found. Since no strong correlation exists between pain and parenchymal pressure, we hypothesise that pressure and parenchymal factors contribute to the pathogenesis of pain in chronic pancreatitis.
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PMID:[Intrahepatic pressure, oxygen partial pressure and pain in chronic pancreatitis]. 957 38

Over the past year considerable progress has been made in the field of pancreatic surgery. Innovative diagnostic techniques continue to improve the preoperative staging of pancreatic cancer. For patients with cancer and biliary obstruction, preoperative biliary stenting appears to increase the incidence of wound infection after pancreatoduodenectomy but has no effect on other perioperative complications. New information about the molecular biology of pancreatic cancer may begin to influence the surgical approach to the disease. More cases of intraductal papillary mucinous neoplasms are being diagnosed and studied. The impact of adjuvant chemotherapy and chemoradiation on survival has been more clearly defined in a large, randomized trial. In patients with sterile acute necrotizing pancreatitis, conservative nonsurgical management has continued to produce favorable results. For chronic pancreatitis, surgery appears to diminish both chronic pain and recurrent episodes of acute pain.
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PMID:Pancreatic surgery. 1703 35

Treatment of acute pain in chronic disease requires the physician to choose from an arsenal of pain management techniques tailored to the individual patient. Celiac plexus block and neurolysis are commonly employed for the management of chronic abdominal pain, especially in debilitating conditions such as cancer or chronic pancreatitis. The procedure is safe, well tolerated, and produces few complications. We present a case of pulmonary embolism following a celiac plexus block and neurolysis procedure. Further study is required to determine if celiac plexus ablation, alone or in combination with other risk factors, may contribute to increased risk for pulmonary embolism in patients seeking treatment for chronic upper abdominal pain conditions.
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PMID:Pulmonary embolism following celiac plexus block and neurolysis. 2736 90