Table 3.
Mechanisms of pain in chronic pancreatitis
Increased intraductal pressure |
Ductal obstruction from strictures/stones |
Increased intrapancreatic pressure (compartment-like syndrome) |
Fibrosis causing lack of distensibility |
Neuropathic |
Entrapment of nerves |
Damage of nerves by enzymes |
Increased nerve tissue |
Pancreatic ischemia |
Worsened during increased enzyme secretion |