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Evaluation of the analgesic efficacy of the ct-guided celiac plexus neurolysis technique in 7 patients
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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
1. Trịnh Văn Minh (2012). Giải phẫu người, Nhà xuất bản Giáo dục, Hà Nội.
2. Kambadakone, A., et al. (2011). CT-guided celiac plexus neurolysis: a review of anatomy, indications, technique, and tips for successful treatment. Radiographics, 31(6), 1599-621.
3. Shuman, L.S. (2007). Relief of Abdominal Cancer Pain With Image-guided Block of the Celiac Plexus. The Journal of Lancaster General Hospital, 2(3), 101-102.
4. Lee, J.M. (2000). CT-guided celiac plexus block for intractable abdominal pain. J Korean Med Sci, 15(2), 173-8.
5. Wong, G.Y., et al. (2004). Effect of neurolytic celiac plexus block on pain relief, quality of life, and survival in patients with unresectable pancreatic cancer: a randomized controlled trial. Jama, 291(9), 1092-9.
6. Basinski, A., et al. (2013). Influence of religiosity on the quality of life and on pain intensity in chronic pancreatitis patients after neurolytic celiac plexus block: case-controlled study. J Relig Health, 52(1), 276-84.
7. Levy, M.J. and M.J. Wiersema (2003). EUSguided celiac plexus neurolysis and celiac plexus block. Gastrointest Endosc, 57(7), 923-30.
8. Paolo Giorgio Arcidiacono, M.R. (2004). Celiac Plexus Neurolysis. JOP. J Pancreas (Online), 5(4), 315-321.