Evidence map›Paper›PMID 17898531›Full record

ReviewPancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]2007

Pain in chronic pancreatitis: a salutogenic mechanism or a maladaptive brain response?

Felipe Fregni, Alvaro Pascual-Leone, Steven D Freedman

Open access · greenAbstract readReview
In one paragraph

Review in Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Opioid dependence in patients with pain in chronic pancreatitis an emerging problem.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Review
  3. The Mechanism of HDAC2 Inhibitors on Chronic Pancreatitis Pain.Journal of neurological surgery reports · 2025
    Article
  4. Review
  5. Pain in chronic pancreatitis: What can we do today?World journal of methodology · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Pancreatic pain.Wiener medizinische Wochenschrift (1946) · 2014
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Felipe FregniDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Alvaro Pascual-Leone
Steven D Freedman
Harvard University · US

Funding

SCHOLARS IN CLINICAL SCIENCE PROGRAMK30HL004095 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI WILLIAMS, GORDON H · 1999 to 2004
$1.0M
Study and Modulation of Brian PlasticityK24RR018875 · NCRR · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PASCUAL-LEONE, ALVARO · 2004 to 2008
$602k
TMS treatment for pain in chronic pancreatitisR03DK071851 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FREEDMAN, STEVEN DAVID · 2005 to 2006
$336k
NCRR NIH HHS K24 RR018875NHLBI NIH HHS K30 HL004095NHLBI NIH HHS K30 HL04095NIDDK NIH HHS DK071851-01NIDDK NIH HHS R03 DK071851
6 · The paper itself

Abstract

Pain in chronic pancreatitis is frequently refractory to medical and even surgical treatment. This refractoriness leads us to believe that a pancreas-independent, brain-mediated mechanism must be responsible. If so, several scenarios are worth considering. First, chronic pain could be the consequence of undesirable neuroplastic changes, by which pathology becomes established and causes disability. Alternatively, pain may be linked to the salutogenic (from salutogenesis, the Latin word for health and well-being) central nervous system response (we defined 'salutogenic response' as the specific modulation of the immune system induced by brain activity changes) to promote healing of the injured viscera. If so, chronic pain could index the ongoing nervous system attempt to promote healing. In this review, we discuss (1) the mechanisms of pain in chronic pancreatitis; (2) potential brain-related salutogenic mechanisms, and (3) the potential relationship of these two factors to the disease status. Furthermore, we consider these aspects in light of a new approach to treat visceral pain: transcranial magnetic stimulation, a noninvasive method of brain stimulation.

Indexed as

Abdominal PainAdaptation, PhysiologicalAnimalsBehaviorBrainCentral Nervous SystemDeep Brain StimulationHumansImmunityNeuronal PlasticityPancreatitis, ChronicPeripheral Nervous SystemSomatosensory CortexTranscranial Magnetic Stimulation

Identifiers

PMID17898531
PMCPMC2826873
OpenAlexW1968133293

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.