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[Celiac plexus block: value of x-ray computed guidance].
G Ducable1, E Menguy, S Jouini
1Département d'anesthésie-réanimation, Centre hospitalier et universitaire de Rouen.
Agressologie: Revue Internationale De Physio-Biologie Et De Pharmacologie Appliquees Aux Effets De L'Agression
|January 1, 1991
Summary
Celiac plexus neurolysis offers effective pain relief for upper abdominal pain. This minimally invasive procedure, guided by CT, showed a 70% success rate with no complications in a small patient group.
Area of Science:
- Interventional Pain Management
- Gastroenterology
- Radiology
Context:
- Upper abdominal pain is a common and often debilitating condition.
- Celiac plexus block is an established treatment modality for visceral abdominal pain.
- Percutaneous neurolysis offers a minimally invasive approach to target the celiac plexus.
Purpose:
- To evaluate the efficacy and safety of CT-guided percutaneous celiac plexus neurolysis for upper abdominal pain.
- To assess the rate of pain relief and complication occurrence in patients undergoing the procedure.
Summary:
- Eight patients with upper abdominal pain underwent CT-guided percutaneous posterior celiac plexus neurolysis.
- Pain relief was achieved in 70% of patients (5 out of 7 evaluable patients).
- No complications were reported during or after the procedure.
Impact:
- CT-guided celiac plexus neurolysis is a safe and effective treatment option for refractory upper abdominal pain.
- This technique provides a viable alternative to more invasive procedures.
- Further research with larger cohorts is warranted to confirm these findings.