Evaluation of the analgesic efficacy of the ct-guided celiac plexus neurolysis technique in 7 patients

Bui Van Giang1,, Do Thi Thu Thuy1
1 Saint Paul Hospital

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Abstract

SUMMARY


CT-guided celiac plexus neurolysis technique plays a role in the palliative treatment of visceral pain originating from the
mesentery of transverse colon (Upper abdominal viscera). From March 2013 to August 2014, we performed this technique for 7
patients (5 males and 2 females). These patients whose VAS score shift before - after were more than 4 points have the most effective pain relief; and those whose VAS score shift were 2-4 point is 5 out of 8 (8 interventions on 7 patients) have an average effect of pain relief; the group rest whose VAS score shift were less than 2 points has no pain relief effect. Anterior approach, especially antecrural, is optimal for this procedure. The total amount of alcohol for each neurolysis injection is 20ml for the antecrural and less than 10ml for the retrocrural. CT-guided celiac plexus neurolysis technique is a simple, less invasive and effective procedure for palliative pain control.

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References

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