Chapter 79. Management of Cancer Pain

  1. Hans G. Beger MD, FACS(Hon) Founding Editor Emeritus Professor of Surgery3,
  2. Andrew L. Warshaw MD Surgeon-in-Chief Chairman4,5,
  3. Markus W. Büchler MD Chairman Head Professor of Surgery6,
  4. Richard A. Kozarek MD Director7,
  5. Markus M. Lerch MD, FRCP Professor Chair8,
  6. John P. Neoptolemos MA, MB, BChir, MD, FRCS, FMedSci Head Professor of Surgery9,10,11,
  7. Keiko Shiratori MD Chair Professor12,
  8. David C. Whitcomb MD, PhD Professor of Medicine Chief13 and
  9. Bettina M. Rau MD Coordinating Editor Associate Professor of Surgery14
  1. Sergio Pedrazzoli MD, FACS Professor and Chairman1,
  2. Claudio Pasquali,
  3. Cosimo Sperti and
  4. Francesca Avogaro MD2

Published Online: 4 FEB 2009

DOI: 10.1002/9781444300123.ch79

The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition

The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition

How to Cite

Pedrazzoli, S., Pasquali, C., Sperti, C. and Avogaro, F. (2008) Management of Cancer Pain, in The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition (eds H. G. Beger, A. L. Warshaw, M. W. Büchler, R. A. Kozarek, M. M. Lerch, J. P. Neoptolemos, K. Shiratori, D. C. Whitcomb and B. M. Rau), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444300123.ch79

Editor Information

  1. 3

    c/o Universitätsklinikum Ulm, University of Ulm, Germany

  2. 4

    Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

  3. 5

    W. Gerald Austen Professor of Surgery, Harvard Medical School, Boston, MA, USA

  4. 6

    Department of General and Visceral Surgery, University of Heidelberg, Germany

  5. 7

    Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA

  6. 8

    Department of Gastroenterology, Endocrinology and Nutrition, Ernst-Moritz-Arndt University, Greifswald, Germany

  7. 9

    The Owen and Ellen Evans Chair of Cancer Studies, University of Liverpool, UK

  8. 10

    Division of Surgery and Oncology, University of Liverpool, UK

  9. 11

    School of Cancer Studies, University of Liverpool, UK

  10. 12

    Department of Gastroenterology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan

  11. 13

    Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, PA, USA

  12. 14

    Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Germany

Author Information

  1. 1

    Departments of Medical and Surgical Sciences, IV Surgical Clinic, University of Padua, Italy

  2. 2

    Anesthesiology and Intensive Care Unit – Pain Therapy, University Hospital of Padua, Italy

Publication History

  1. Published Online: 4 FEB 2009
  2. Published Print: 11 APR 2008

ISBN Information

Print ISBN: 9781405146647

Online ISBN: 9781444300123



  • cancer pain management;
  • primary cancer therapies;
  • neuraxial pain management;
  • surgical pain therapies;
  • pancreatic stenting in malignant ductal obstruction;
  • endoscopic pain treatment;
  • endoscopic ultrasound EUS-guided CPN;
  • pharmacologic pain management and adequate lifelong control efficacy;
  • thoracoscopic splanchnicectomy


This chapter contains sections titled:

  • Introduction

  • Origin and characteristics of pain

  • Breakthrough pain

  • Depression

  • Fatigue

  • Pain, depression, and fatigue

  • Pain measurement scales

  • Pharmacologic pain management

  • Neuraxial pain management

  • Primary cancer therapies

  • Surgical pain therapies

  • Endoscopic pain treatment

  • Percutaneous pain treatment

  • Costs of pain management

  • Conclusions

  • References