A prospective study of EUS-guided celiac plexus neurolysis for pancreatic cancer pain

Gunaratnam, Naresh T.; Sarma, Aruna V.; Norton, Ian D.; Wiersema, Maurits J.

doi:10.1067/mge.2001.117515

Cited by 258 publications

(162 citation statements)

References 12 publications

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“…The effect of celiac plexus neurolysis is unfortunately not permanent, and severe pain can return after a variable period. Chemical splanchnicectomy or celiac axis block can then be repeated using numerous techniques (computerized tomography guided, magnetic resonance imaging guided, endoscopic ultrasound guided, or laparoscopically) [13,[15][16][17][18].…”

Section: Painmentioning

confidence: 99%

Metastatic Pancreatic Cancer: Emerging Strategies in Chemotherapy and Palliative Care

2003

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For these reasons, efforts at identifying and treating disease-related symptomatology are priorities. This update overviews symptom management, supportive care strategies, and both standard and emerging palliative chemotherapy options. The incorporation of molecularly targeted therapies into treatment of metastatic pancreatic cancer is reviewed as well. These strategies are of relevance to internists, gastroenterologists, oncologists, and other specialists who care for patients with pancreatic cancer.

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Section: Painmentioning

confidence: 99%

Metastatic Pancreatic Cancer: Emerging Strategies in Chemotherapy and Palliative Care

2003

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“…A linear echoendoscope is directed towards the coeliac ganglia at the origin of the coeliac trunk with a 22–19G FNA needle. Durable analgesia is obtained in up to 91% of patients with pancreatic cancer 60 , 61 . Complications are rare (1% 62 ) and the EUS technique is safer than the CT guided percutaneous approach 63 .…”

Section: Eus‐guided Injection Therapymentioning

confidence: 99%

Endoscopic ultrasound: an overview of its role in current clinical practice

Chung

Kwan

2009

Australas J Ultrason Med

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“…In a group of 603 patients, complications were found in 13 of them (2%) [39]. Celiac plexus neurolysis during EUS can cause temporary symptoms lasting less than 48 h: abdominal pain (9%), diarrhoea (17%), and a decrease in diastolic blood pressure for approximately 30 min (20%) [40].…”

Section: Endoscopic Ultrasound Complicationsmentioning

confidence: 99%

The role of endoscopic ultrasonography (EUS) in contemporary diagnosis of gastrointestinal diseases

Kiełtucki¹,

Wawrzyniec²

2016

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Day by day endoscopic ultrasonography (EUS) is becoming an essential diagnostic method for the assessment of solid lesions of the pancreas, cysts, pseudocysts and cystic tumours of the pancreas, enlarged mediastinal lymph nodes, staging of gastric cancer and rectal cancer, as well as lung or subepithelial tumours in the gastrointestinal tract. The ability to use this diagnostic method presents many challenges for performing specialists, from the organisation of the EUS surgery to maintaining its activity in a proper technical aspect, as well as the continuous improvement of staff qualifications. Endoscopic ultrasonography has revolutionised the practical aspects of gastroenterological practice and oncology. Particularly, EUS-guided fine-needle aspiration biopsy (EUS-FNA) of various pathologies in the gastrointestinal tract has provided invaluable effects and opportunities. This technique is becoming more and more available in Poland, creating a unique challenge to its practice. StreszczenieUltrasonografia endoskopowa (EUS) staje się z dnia na dzień kluczową metodą diagnostyczną zmian litych w trzustce, torbieli, pseudotorbieli i guzów torbielowatych trzustki, powiększonych węzłów chłonnych śródpiersia, zaawansowania raka żołądka, odbytnicy, jak również nowotworów płuc i zmian podnabłonkowych w przewodzie pokarmowym. Technika ta stawia przed wykonującymi badanie wiele wyzwań -zorganizowanie pracowni EUS, utrzymanie jej działania na należytym poziomie technicznym czy stałe podnoszenie kwalifikacji personelu. Ultrasonografia endoskopowa zrewolucjonizowała praktyczne aspekty diagnostyki gastroenterologicznej i onkologicznej, zwłaszcza biopsja cienkoigłowa kontrolowana ultrasonografią endoskopową (EUS-FNA) różnego rodzaju zmian w obrębie przewodu pokarmowego daje nieocenione efekty i możliwości. Metoda ta jest coraz bardziej dostępna w Polsce, zwiększają się również możliwości jej praktycznego doskonalenia.

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A prospective study of EUS-guided celiac plexus neurolysis for pancreatic cancer pain

Cited by 258 publications

References 12 publications

Metastatic Pancreatic Cancer: Emerging Strategies in Chemotherapy and Palliative Care

Metastatic Pancreatic Cancer: Emerging Strategies in Chemotherapy and Palliative Care

Endoscopic ultrasound: an overview of its role in current clinical practice

The role of endoscopic ultrasonography (EUS) in contemporary diagnosis of gastrointestinal diseases

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