PMID: 9552777Apr 29, 1998Paper

Celiac plexus block: a reappraisal

Regional Anesthesia and Pain Medicine
S Mercadante, F Nicosia

Abstract

The neurolytic celiac plexus block is an established, well-developed procedure and the most widely applicable of all the neurolytic pain blocks. It optimizes palliative treatment for cancer of the upper abdominal viscera. Several techniques have been proposed in an attempt to increase success rates, reduce morbidity, and enhance technical accuracy. However, the assessment of the results and effectiveness of the block have been controversial. A survey was made of pertinent English language literature on the anatomic and technical problems, indications, advantages, complications, and outcomes related to the neurolytic celiac plexus block as well as the neurolytic solutions and radiologic guidance used. The successful relief of the pain of pancreatic cancer and other abdominal malignancies can be expected in 85% and 73% of patients, respectively. Following the block, many patients can be weaned from opioids or at least have their dose reduced. The half-life of the celiac plexus block seems to be more than 4 weeks. The probability of patients remaining completely pain-free diminishes with increases survival time. The technique selected should be appropriate to the available and the extent of malignancy, since the analgesic results ...Continue Reading

Citations

Dec 8, 2006·Abdominal Imaging·P J WangX H Zhao
Mar 15, 2006·Current Gastroenterology Reports·Marc Noble, Frank G Gress
Jul 10, 2009·Current Pain and Headache Reports·Carlos Cuevas, Dean Shibata
Sep 5, 2003·Current Treatment Options in Gastroenterology·Manoop S. Bhutani, P. Jay Pasricha
Apr 20, 2001·Journal of Pain and Symptom Management·S Mercadante, R K Portenoy
Aug 23, 2001·Journal of Pain and Symptom Management·S KrishnaJ Donahoo
Dec 1, 2001·Journal of Pain and Symptom Management·J H VrankenJ J de Lange
May 9, 2002·Journal of Pain and Symptom Management·Sebastiano MercadantePatrizia Villari
Aug 10, 2000·Anesthesiology Clinics of North America·A Aeschbach, N A Mekhail
Apr 8, 2011·Journal of Palliative Medicine·Gary M Reisfield, George R Wilson
Oct 3, 2006·Current Opinion in Anaesthesiology·B DonnerT Weiss
Apr 25, 2001·Journal of Clinical Gastroenterology·M Abedi, A M Zfass
Oct 15, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Avinash KambadakoneRonald S Arellano
May 3, 2012·Gastroenterology Research and Practice·Adam J Goodman, Frank G Gress
Jul 21, 2011·Journal of Anaesthesiology, Clinical Pharmacology·Deepak ThapaVanita Ahuja
Aug 7, 2007·Digestive Diseases and Sciences·Chun-Lei ZhangJia-Xiang Ni
Mar 1, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Feng-Rui YangJia-Xiang Ni
Jun 28, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Werner NagelsPatrick Dobbels
Apr 25, 2020·International Journal of Environmental Research and Public Health·José C Vera-JiménezJesús Ayuso

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