Document Detail


Endoscopic ultrasound-guided (neurolytic) celiac plexus block.
MedLine Citation:
PMID:  11319308     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Celiac plexus neurolysis is an established technique for relieving pain in cancers of the upper abdomen. This article reviews the novel technique of endoscopic ultrasound (EUS)-guided neurolytic celiac plexus block. This recently described procedure is a therapeutic extension of curvilinear array endosonographic fine needle aspiration. The indications, patient preparation, and technical aspects of the procedure are described in detail. The potential complications are mentioned and the results of the published studies are reviewed. We believe that where the expertise is available, this procedure can be integrated into the diagnostic EUS of patients with inoperable upper abdominal malignancy. As such, this would be the safest and most cost-effective approach for celiac plexus neurolysis in these patients. The role of EUS-guided celiac plexus block in patients with chronic pancreatitis may be emerging and needs further study.
Authors:
M Abedi; A M Zfass
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical gastroenterology     Volume:  32     ISSN:  0192-0790     ISO Abbreviation:  J. Clin. Gastroenterol.     Publication Date:    2001 May-Jun
Date Detail:
Created Date:  2001-04-25     Completed Date:  2001-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7910017     Medline TA:  J Clin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  390-3     Citation Subset:  IM    
Affiliation:
Gastroenterology Division, Medical College of Virginia Commonwealth University, Richmond, Virginia 23298-0711, USA. mabedi@hsc.vcu.edu
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MeSH Terms
Descriptor/Qualifier:
Celiac Plexus*
Chronic Disease
Endosonography*
Humans
Nerve Block / methods*
Pancreatitis / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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