• Users Online:185
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
REVIEW ARTICLE
Year : 2014  |  Volume : 3  |  Issue : 4  |  Page : 213-220

EUS-guided celiac plexus interventions in pancreatic cancer pain: An update and controversies for the endosonographer


1 Department of Medicine, Division of Gastroenterology and Hepatology, Indiana University School of Medicine; Gastroenterology Section, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA
2 Department of Medicine, Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indiana, USA

Correspondence Address:
Leticia Perondi Luz
Department of Medicine, Division of Gastroenterology and Hepatology, Indiana University School of Medicine; Gastroenterology Section, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2303-9027.144515

Rights and Permissions

Patients with pancreatic cancer (pancreatic ductal adenocarcinoma [PDAC]) can develop abdominal pain that can be debilitating. Celiac plexus neurolysis (CPN) is a chemical ablation of the celiac plexus that can be used to treat pain caused by pancreatic malignancy. It can be performed by an anterior or posterior approach, and also can be done percutaneously or under guidance of transabdominal ultrasound, computed tomography, intra-operatively or most recently under linear endoscopic ultrasound (EUS) guidance (EUS-CPN). EUS is well-suited for identification of the celiac plexus due to the close proximity of the gastric wall to the origin of the celiac artery. EUS-CPN is now widely practiced, and different EUS approaches have been developed in order to improve the efficacy of this technique. Our objective is to review the use of EUS-CPN in PDAC, including a description of different techniques, review of its efficacy, predictors of pain response, and describe its limitations and safety, as well as new developments.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3116    
    Printed38    
    Emailed0    
    PDF Downloaded781    
    Comments [Add]    
    Cited by others 9    

Recommend this journal