EUS-guided celiac plexus neurolysis for pain due to chronic pancreatitis or pancreatic cancer pain: a meta-analysis and systematic review.

Digestive Diseases and Sciences
Srinivas R PuliWilliam R Brugge

Abstract

The objective of this study was to evaluate the efficacy of EUS-guided CPN for pain relief in patients with chronic pancreatitis and pancreatic cancer. An initial search identified 1,439 reference articles, of which 130 relevant articles were selected and reviewed. Data was extracted from 8 studies (N = 283) for EUS-guided CPN for pain due to pancreatic cancer and nine studies for chronic pancreatitis (N = 376) which met the inclusion criteria. With EUS-guided CPN, the pooled proportion of patients with pancreatic cancer that showed pain relief was 80.12% (95% CI = 74.47-85.22). In patients with pain due to chronic pancreatitis, EUS-guided CPN provided pain relief in 59.45% (95% CI = 54.51-64.30). In conclusion, EUS-guided CPN offers a safe alternative technique for pain relief in patients with chronic pancreatitis or pancreatic cancer. In patients with pain due to chronic pancreatitis, better techniques or injected materials are needed to improve the response.

References

Jun 6, 1992·BMJ : British Medical Journal·P Brennan, A Silman
Aug 1, 1990·Alimentary Pharmacology & Therapeutics·S UdenJ M Braganza
Jun 1, 1988·Gastroenterology·D E BockmanH G Beger
Jan 1, 1986·Scandinavian Journal of Gastroenterology·H HalgreenH Worning
Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Jun 1, 1994·Journal of Clinical Epidemiology·I White, Y Ben-Shlomo
Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Dec 1, 1996·Gastrointestinal Endoscopy·M J Wiersema, L M Wiersema
Apr 1, 1997·Gastrointestinal Endoscopy Clinics of North America·N HaradaL M Wiersema
Aug 28, 1998·Gastroenterology·A L WarshawC Fernández-Del Castillo
Apr 30, 1999·Gastroenterology·R W Ammann, B Muellhaupt
Aug 28, 2001·Gastrointestinal Endoscopy·N T GunaratnamM J Wiersema
Sep 29, 2001·Journal of Clinical Epidemiology·J A Sterne, M Egger
Sep 24, 2002·Endoscopy·T RöschUNKNOWN European Society of Gastrointestinal Endoscopy Research Group
Sep 28, 2002·European Journal of Gastroenterology & Hepatology·Ake Andrén-SandbergHjörtur Gislason
Jun 1, 1958·A.M.A. Archives of Surgery·C B PUESTOW, W J GILLESBY
Dec 1, 1960·Annals of Surgery·P F PARTINGTON, R E ROCHELLE
Oct 10, 2003·World Journal of Surgery·Edward L Bradley, Jiri Bem
Oct 24, 2003·World Journal of Surgery·Philippus C BornmanMarkus W Büchler
Dec 14, 2005·Statistics in Medicine·Roger M HarbordJonathan A C Sterne
Mar 15, 2006·Current Gastroenterology Reports·C Mel Wilcox, Shyam Varadarajulu
Jun 3, 2006·Journal of Cellular Physiology·M C PaceC Aurilio
Nov 1, 2007·The American Journal of Gastroenterology·Michael J LevySuresh T Chari

❮ Previous
Next ❯

Citations

Dec 21, 2010·Current Gastroenterology Reports·Tyler Stevens
Nov 5, 2003·Gastrointestinal Endoscopy·Todd H BaronDouglas O Faigel
Oct 9, 2004·Gastrointestinal Endoscopy·Tony E YusufElizabeth Rajan
Sep 26, 2012·Annals of Oncology : Official Journal of the European Society for Medical Oncology·C I Ripamonti
Aug 17, 2011·Current Opinion in Gastroenterology·Matthew J DiMagno, Eugene P DiMagno
Jul 12, 2012·Current Opinion in Gastroenterology·Matthew J DiMagno, Eugene P DiMagno
Nov 29, 2012·The Cancer Journal·Jason J Lewis, Thomas E Kowalski
Jul 2, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroshi Imaizumi, Atushi Irisawa
Sep 8, 2010·World Journal of Gastroenterology : WJG·Andrada Seicean
Mar 18, 2011·World Journal of Gastroenterology : WJG·Chakshu SharmaMichele Molinari
Sep 13, 2012·World Journal of Gastroenterology : WJG·Pietro FusaroliMohamad A Eloubeidi
Jun 27, 2013·World Journal of Gastroenterology : WJG·Wen-Ying ZhangZhen-Dong Jin
Jan 15, 2014·World Journal of Gastroenterology : WJG·Andrada Seicean
Jan 15, 2014·Current Pain and Headache Reports·Maunak V RanaNebojsa Nick Knezevic
Feb 12, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·E de-MadariaJ Martínez
Oct 15, 2011·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Avinash KambadakoneRonald S Arellano
Oct 12, 2013·World Journal of Gastroenterology : WJG·Manu Tandan, D Nageshwar Reddy
Mar 8, 2014·World Journal of Gastroenterology : WJG·Jonathan M WyseAnand V Sahai
Nov 8, 2011·Digestive Diseases and Sciences·Pietro FusaroliGiancarlo Caletti
Dec 15, 2015·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Petra Vayne-BossertJanet Hardy
Apr 11, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Savio G Barreto, Gino T P Saccone
Jun 28, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Werner NagelsPatrick Dobbels
May 4, 2013·Gastroenterología y hepatología·Enrique de-MadariaUNKNOWN Club Español Pancreático
Aug 1, 2012·Seminars in Oncology·William S AuriemmaGloria J Morris
May 29, 2012·Gastrointestinal Endoscopy Clinics of North America·Michael J LevyMaurits J Wiersema
Mar 1, 2016·Current Problems in Surgery·Mariam F EskanderJennifer F Tseng
Feb 22, 2012·Gastroenterology Clinics of North America·Simon K Lo
Sep 29, 2011·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Tyler StevensJohn J Vargo
May 18, 2011·Clinical Oncology : a Journal of the Royal College of Radiologists·J G de Courcy
Jun 1, 2010·Best Practice & Research. Clinical Gastroenterology·Shailendra Chauhan, Chris E Forsmark
Apr 7, 2010·The Surgical Clinics of North America·E James Kruse
Apr 2, 2010·Medicina clínica·Salvador NavarroUNKNOWN la Sociedad Española de Anatomía Patológica (SEAP)
Aug 12, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·A LarghiP G Arcidiacono
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Arathi Lakhole, Quin Y Liu
Apr 5, 2012·Gastroenterology Research and Practice·Anna Wiechowska-KozłowskaPiotr Milkiewicz
Dec 1, 2010·Journal of Hepato-biliary-pancreatic Sciences·Jessica M Trevino, Shyam Varadarajulu
Jun 17, 2011·Pain Practice : the Official Journal of World Institute of Pain·Martine PuylaertYolande C A Keulemans
Jun 17, 2015·Gastrointestinal Endoscopy·UNKNOWN ASGE Standards of Practice CommitteeJohn M DeWitt
Jun 3, 2015·Der Radiologe·S C KrämerH Seifarth
Mar 25, 2016·The Indian Journal of Surgery·A K Pujahari

❮ Previous
Next ❯

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