Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

115
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
115
Analgesia and Pain Management01:25

Analgesia and Pain Management

632
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
632
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

272
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
272
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

95
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
95

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Artificial Intelligence-Enabled Opportunities to Reduce Administrative Bloat in Gastroenterology Practices: Scoping Review.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association·2026
Same author

Clinical safety of a novel over-the-scope gastroduodenal full-thickness resection device for the treatment of upper GI tract lesions: a multicenter experience.

iGIE : innovation, investigation and insights·2026
Same author

Rates of Cancer, Non-curative Resection, Adverse Event and Surgery After Colonic Endoscopic Submucosal Dissection (ESD)-Results from a Large International Multicenter Study.

Digestive diseases and sciences·2025
Same author

A novel technique for enhancing EUS-guided gastrojejunostomy: the dual-scope method.

VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy·2025
Same author

Effect of Prophylactic Colon ESD (Endoscopic Submucosal Dissection) Defect Closure on Post-ESD Outcomes: An International Multi-center Retrospective Study.

Digestive diseases and sciences·2025
Same author

Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video).

Gastrointestinal endoscopy·2025

Related Experiment Video

Updated: Jul 11, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

377

Endoscopic Ultrasound-Guided Pain Management.

Amirali Tavangar1, Jason B Samarasena1

  • 1Division of Gastroenterology and Hepatology, Digestive Health Institute, University of California Irvine, Orange, CA, USA.

Gastrointestinal Endoscopy Clinics of North America
|November 16, 2023
PubMed
Summary

Endoscopic ultrasound-guided procedures can help manage difficult pancreatic cancer pain. Celiac plexus and ganglia neurolysis offer alternative pain control options for patients when standard treatments are insufficient.

Keywords:
Celiac ganglia neurolysisCeliac plexus neurolysisEndoscopic ultrasoundEndosonographyPancreatic cancer

More Related Videos

Author Spotlight: Minimally Invasive Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment
04:57

Author Spotlight: Minimally Invasive Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment

Published on: April 26, 2024

569
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

5.8K

Related Experiment Videos

Last Updated: Jul 11, 2025

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
03:14

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy

Published on: January 31, 2025

377
Author Spotlight: Minimally Invasive Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment
04:57

Author Spotlight: Minimally Invasive Ultrasound-Guided Acupotomy in Knee Osteoarthritis Treatment

Published on: April 26, 2024

569
Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

5.8K

Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Pain Management

Background:

  • Pancreatic cancer frequently causes severe abdominal pain, significantly impacting patient quality of life.
  • Medical management of cancer-related pain is often challenging and may require multimodal approaches.
  • Endoscopic oncologists play a key role in diagnosing and managing pancreatic cancer and its associated symptoms.

Purpose of the Study:

  • To review the current scientific evidence on endoscopic ultrasound-guided celiac plexus neurolysis and celiac ganglia neurolysis for pancreatic cancer pain.
  • To provide best practice recommendations for these interventional pain management techniques.
  • To address the existing variability in procedural techniques and approaches.

Main Methods:

  • Literature review of recent scientific evidence.
  • Synthesis of contemporary best practice guidelines.
  • Analysis of techniques and approaches for endoscopic ultrasound-guided neurolysis.

Main Results:

  • Endoscopic ultrasound-guided celiac plexus neurolysis and celiac ganglia neurolysis are established as effective adjuncts or alternatives for pain control in pancreatic cancer.
  • Significant practice variability exists regarding the specific techniques and approaches employed for these procedures.
  • The reviewed evidence supports the utility of these minimally invasive techniques in managing refractory pain.

Conclusions:

  • Celiac plexus and ganglia neurolysis are valuable endoscopic interventions for managing debilitating pain in pancreatic cancer.
  • Standardization of techniques and further research are needed to optimize outcomes and reduce practice variability.
  • These procedures represent an important option for improving the quality of life for patients with advanced pancreatic cancer.