Pain in Chronic Pancreatitis:
Assessment and Relief Through Treatment
Andrada Seicean, Mircea
Grigorescu, Marcel Tantau, Dan L. Dumitrascu, Diana Pop, Teodora
3rd Medical Clinic, Cluj-Napoca
assess two scores of pain used in chronic pancreatitis, to analyse
the morphological factors identified by imaging techniques and
the extrinsic factors involved in causing pain and in pain evolution
Patients and methods.
Pain was assessed by means of a unidimensional numeric scale
and a multidimensional Mc Gill score in 50 patients with chronic
pancreatitis. We prospectively followed up 28 patients over
a period of 17 months.
Pain assessment by means of the two scores was statistically
comparable. The multidimensional score correlated with the presence
of Wirsung stenoses in the univariate analysis and with Wirsung
stenoses and their diameter in the multivariate one. The smokers
had a smaller rate of pain relief during the treatment. In cases
with more morphological changes of severe chronic pancreatitis,
pain relief was lower than in cases with fewer changes.
The Mc Gill score is more appropriate for the quantitative assessment
of pain. Smoking reduces the chances of pain relief under treatment.
Duct stenoses and Wirsung diameter have the best correlation
with pain intensity. The severe chronic pancreatitis changes
are negative predictive factors for pain relief under treatment.
Chronic pancreatitis - pain
- scores of pain - endoscopic therapy - surgery