Persistent pain is a serious problem that often contributes to a poor quality of life in pancreatic cancer patients. Medical management by opioid analgesics is often accompanied by side effects and incomplete pain relief. A celiac plexus block is a simple treatment which relieves pain, but the procedure demands a certain degree of proficiency and the duration of the effects obtained can be rath...

Pain is the major cause of morbidity in cancer patients. Interventional techniques should be considered for management pain that refractory to traditional analgesics or when patients are unable tolerate opioids. intended stop signals through neural pathways from periphery brain. This article deals with interventional such as central neuraxial block, sympathetic peripheral nerve percutaneous cor...

BACKGROUND AND STUDY AIMS Endoscopic ultrasound - guided celiac plexus block (EUS-CPB) is an established treatment for pain in patients with chronic pancreatitis (CP), but the effectiveness and safety of repeated procedures are unknown. Our objective is to report our experience of repeated EUS-CPB procedures within a single patient. PATIENTS AND METHODS A prospectively maintained EUS database...

Endoscopic ultrasound–celiac plexus block (EUSCPB) and endoscopic ultrasound–celiac plexus neurolysis (EUS-CPN) have been reported to provide pain relief and reduce narcotics use in patients with chronic pancreatitis [1]. The techniques of EUS-CPB and EUS-CPN are identical; the differences are in the substances injected and in the indications. Neurolysis, in which bupivacaine and ethanol are in...

Pancreatic cancer is the tenth most common malignancy and the fourth cause of cancerrelated death in Western countries. Because 5year survival in referral centers is less than 30%, clinical management of most patients involves palliation of the symptoms of which 90% are weight loss, jaundice, and pain. While jaundice related to biliary obstruction can be palliated by means of endoscopic therapy...

conclusions the brachial plexus block can be performed at different levels in the same patient to achieve desired results, while employing sound anatomical knowledge and adhering to the maximum safe dose limit of the local anesthetic. case presentation we present the case of a 68-year-old gentleman who had brachial plexus block at supraclavicular and interscalene levels as the sole anesthetic f...

Introduction. Celiac plexus neurolysis is used in pain management of patients with advanced and unresectable pancreatic cancer. We retrospectively analyzed efficacy and safety of endoscopic ultrasound- (EUS-) guided celiac plexus neurolysis in patients treated in our unit. Methods. Twenty nine subjects with unresectable pancreatic cancer and severe pain despite pharmacological treatment underwe...

OBJECTIVE The purpose of this study was to test the hypothesis that soft-tissue infiltration along the celiac plexus and delayed enhancement exceeding two-thirds of the tumor area on preoperative MDCT correlate with histologic evidence of perineural invasion in resected intrahepatic cholangiocarcinomas. MATERIALS AND METHODS Two experienced abdominal radiologists retrospectively reviewed preo...