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Endosonography-guided celiac plexus neurolysis

N Harada1, M J Wiersema, L M Wiersema

  • 1Department of Medicine, St. Vincent Hospitals, Indianapolis, Indiana, USA.

Gastrointestinal Endoscopy Clinics of North America
|April 1, 1997
PubMed
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Endoscopic ultrasound-guided celiac plexus neurolysis offers a new method for managing cancer pain. This outpatient procedure provides chemical splanchnicectomy for patients undergoing endoscopic ultrasound examinations.

Area of Science:

  • Gastroenterology
  • Pain Management
  • Interventional Endoscopy

Background:

  • Malignant abdominal pain significantly impacts patient quality of life.
  • Celiac plexus neurolysis is an established treatment for visceral pain.
  • Endoscopic ultrasound (EUS) offers precise visualization for interventions.

Purpose of the Study:

  • To introduce and describe endosonography-guided celiac plexus neurolysis as a novel technique.
  • To evaluate the feasibility of this procedure in patients undergoing EUS for malignancy staging and biopsy.

Main Methods:

  • The study describes the technique of performing celiac plexus neurolysis under direct endosonographic guidance.
  • Patients undergoing EUS for cancer staging or biopsy were considered for the procedure.

Related Experiment Videos

  • Chemical splanchnicectomy was achieved via neurolytic agent injection.

    • Main Results:

    • Endosonography-guided celiac plexus neurolysis is a feasible technique.
    • The procedure can be performed effectively on an outpatient basis.
    • It integrates pain management with diagnostic EUS procedures.

    Conclusions:

    • Endosonography-guided celiac plexus neurolysis represents a promising new approach for managing cancer-related abdominal pain.
    • This technique allows for simultaneous diagnosis and pain control during endoscopic ultrasound examinations.
    • Outpatient delivery enhances patient convenience and accessibility.