EFFICACY OF ENDOSCOPIC ULTRASOUND (EUS) GUIDED CELIAC PLEXUS BLOCK (CPB) FOR MANAGING ABDOMINAL PAIN ASSOCIATED WITH CHRONIC PANCREATITIS (CP)

Pancreas ◽  
2008 ◽  
Vol 37 (4) ◽  
pp. 477
Author(s):  
M. S. Kaufman ◽  
G. Singh ◽  
S. Das ◽  
J. A. Erber ◽  
C. Micames ◽  
...  
2020 ◽  
Vol 28 (1) ◽  
pp. 32-38
Author(s):  
Pedro Moutinho-Ribeiro ◽  
Pedro Costa-Moreira ◽  
Ana Caldeira ◽  
Sílvia Leite ◽  
Susana Marques ◽  
...  

Abdominal pain related to pancreatic disease is often extremely disabling. Endoscopic ultrasound (EUS)-guided celiac plexus block (CPB) is used to control pain associated with chronic pancreatitis. EUS-guided celiac plexus neurolysis (CPN) is typically used to reduce pain associated with pancreatic cancer and can be considered early at the time of diagnosis of inoperable disease. EUS-guided celiac plexus interventions have been shown to be significantly effective in pancreatic pain relief, which is achieved in approximately 70–80% of patients with pancreatic cancer and in 50–60% of those with chronic pancreatitis. Serious complications from CPB and CPN are rare. Most frequent adverse events are diarrhoea, orthostatic hypotension, and a transient increase in abdominal pain. In this article, the Portuguese Group for Ultrasound in Gastroenterology (GRUPUGE) presents an updated perspective of the potential role of EUS-guided celiac plexus interventions, addressing the selection criteria and technical issues of different techniques and analysing recent data on their safety and efficacy.


2014 ◽  
Vol 03 (01) ◽  
pp. E56-E59 ◽  
Author(s):  
Michael Sey ◽  
Leslie Schmaltz ◽  
Mohammad Al-Haddad ◽  
John DeWitt ◽  
Cynthia Calley ◽  
...  

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