Bedside Ultrasound-Guided Celiac Plexus Neurolysis with Bilateral Paramedian Needle Entry Technique can be an Effective Pain Control Technique in Advanced Upper Abdominal Cancer Pain

2008 ◽  
Vol 11 (9) ◽  
pp. 1195-1199 ◽  
Author(s):  
Sushma Bhatnagar ◽  
Deepak Gupta ◽  
Seema Mishra ◽  
Sanjay Thulkar ◽  
Himanshu Chauhan
Keyword(s):  
Cancer Pain ◽  
Pain Control ◽  
Celiac Plexus ◽  
Bedside Ultrasound ◽  
Control Technique ◽  
Ultrasound Guided ◽  
Needle Entry ◽  
Upper Abdominal

Percutaneous retrocrural versus ultrasound-guided coeliac plexus neurolysis for refractory pancreatic cancer pain

2020 ◽  
pp. bmjspcare-2020-002246
Author(s):  
Yasushi Motoyama ◽  
Hitoaki Sato ◽  
Yuki Nomura ◽  
Norihiko Obata ◽  
Satoshi Mizobuchi
Keyword(s):  
Pancreatic Cancer ◽  
Abdominal Pain ◽  
Cancer Pain ◽  
Contrast Medium ◽  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Coeliac Artery ◽  
Successful Case ◽  
Upper Abdominal ◽  
End Stage

We report a successful case of fluoroscopic percutaneous retrocrural coeliac plexus neurolysis (PRCPN) for pancreatic cancer pain refractory to endoscopic ultrasound-guided coeliac plexus neurolysis (EUS-CPN). A 55-year-old man with upper abdominal pain due to end-stage pancreatic cancer underwent EUS-CPN. Although CT revealed distribution of the contrast medium with neurolytic agent around the left and cephalic sides of the coeliac artery, the pain did not improve and became even more severe. PRCPN was performed, resulting in the drastic improvement of pain immediately. PRCPN should be considered when EUS-CPN is not effective.

scholarly journals Celiac plexus neurolysis for the treatment of upper abdominal cancer pain

2013 ◽  
pp. 1209 ◽  
Author(s):  
Erich Fonoff ◽  
Neto ◽  
Angelos ◽  
San Martin ◽  
Monaco ◽  
...  
Keyword(s):  
Cancer Pain ◽  
Celiac Plexus ◽  
Upper Abdominal

Alcohol Celiac Plexus Block for Upper Abdominal Cancer Pain

1979 ◽  
Vol 12 (4) ◽  
pp. 407
Author(s):  
Hung Kun Oh ◽  
Yang Sik Shin ◽  
Yong Aee Chun
Keyword(s):  
Cancer Pain ◽  
Celiac Plexus ◽  
Celiac Plexus Block ◽  
Upper Abdominal ◽  
Plexus Block

scholarly journals The Effectiveness of Alcohol Versus Phenol Based Splanchnic Nerve Neurolysis for the Treatment of Intra-Abdominal Cancer Pain

2016 ◽  
Vol 4;19 (4;5) ◽  
pp. 281-292 ◽  
Author(s):  
Dhanalakshmi Koyyalagunta
Keyword(s):  
Abdominal Pain ◽  
Cancer Pain ◽  
Visceral Pain ◽  
Splanchnic Nerve ◽  
Well Being ◽  
Pain Reduction ◽  
Celiac Plexus ◽  
Safe Procedure ◽  
Abdominal Organ ◽  
Upper Abdominal

Pancreatic and other upper abdominal organ malignancies can produce intense visceral pain syndromes that are frequently treated with splanchnic nerve neurolysis (SNN) or celiac plexus neurolysis (CPN). Although commonly performed with either alcohol or phenol, there is scant literature on the comparative effectiveness, duration of benefit, and complication profile comparing the 2 agents. This study presents a retrospective chart review of 93 patients who underwent SNN for cancer-related abdominal pain in order to describe patient characteristics, examine comparative efficacy, duration of benefit, and incidence of complications with alcohol vs. those of phenol. Consistent with previous studies, SNN reduced reported pain scores while not significantly reducing opioid consumption. No difference in pain outcomes was found comparing alcohol versus phenol based neurolytic techniques. Celiac axis tumor infiltration and pre-procedural local radiation therapy did not change the effectiveness of the procedure. Our data demonstrated that 44.57% of patients had ≥ 30% pain reduction while 43.54% did not have pain reduction. Interestingly, the procedure produced significant improvements in anxiety, depression, difficulty thinking clearly, and feeling of well-being. In addition, no difference in complications was seen between the agents either. SNN was an effective and relatively safe procedure for the treatment of pain associated with pancreatic and other upper abdominal organ malignancies in our sample of patients. Choice of neurolytic agent can appropriately be left to the clinical judgment and local availability of the treating physician. The change in ancillary symptoms has a theoretical basis that supports a biopsychosocial model of pain since changes in one target area (pain) impact other related ones (depression and anxiety). Key words: Celiac plexus, splanchnic nerves, neurolysis, nerve block, alcohol, ethanol, phenol, pain, cancer pain, abdominal pain, visceral pain, symptom assessment

Is celiac plexus block indicated for all upper abdominal cancer pain?

Pain ◽  
1990 ◽  
Vol 41 ◽  
pp. S91
Author(s):  
S. Jain ◽  
A. Kestenbaum ◽  
N. Shah ◽  
Y. Khan ◽  
L. Rubin
Keyword(s):  
Cancer Pain ◽  
Celiac Plexus ◽  
Celiac Plexus Block ◽  
Upper Abdominal ◽  
Plexus Block

Celiac Plexus Blockade and Neurolysis: Ultrasound

2016 ◽  
Author(s):  
Samer N. Narouze
Keyword(s):  
Ultrasound Guidance ◽  
Terminally Ill ◽  
Celiac Plexus ◽  
Imaging Modalities ◽  
Celiac Plexus Block ◽  
Ultrasound Guided ◽  
Radiology Suite ◽  
Neurolytic Block ◽  
Upper Abdominal ◽  
Plexus Block

There has been a growing interest in ultrasound-guided celiac plexus blocks, especially neurolytic blocks, for terminally ill patients with upper abdominal malignancies. These patients are usually frail and difficult to transfer to the radiology suite. Ultrasound-guided celiac plexus neurolytic block can be performed at the bedside with appropriate monitoring. This chapter focuses on ultrasound guidance. It reviews the advantages of ultrasound compared with other imaging modalities in celiac plexus block as well as the step-by-step technique and how to avoid complications.

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