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Endoscopic Ultrasound-Guided Celiac Plexus Interventions

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Resumo:Abstract: Abdominal pain related to pancreatic disease is often extremely disabling. Endoscopic ultrasound (EUS)-guided celiac plexus block (CPB) is used to control pain associated with chronic pancreatitis. EUS-guided celiac plexus neurolysis (CPN) is typically used to reduce pain associated with pancreatic cancer and can be considered early at the time of diagnosis of inoperable disease. EUS-guided celiac plexus interventions have been shown to be significantly effective in pancreatic pain relief, which is achieved in approximately 70-80% of patients with pancreatic cancer and in 50-60% of those with chronic pancreatitis. Serious complications from CPB and CPN are rare. Most frequent adverse events are diarrhoea, orthostatic hypotension, and a transient increase in abdominal pain. In this article, the Portuguese Group for Ultrasound in Gastroenterology (GRUPUGE) presents an updated perspective of the potential role of EUS-guided celiac plexus interventions, addressing the selection criteria and technical issues of different techniques and analysing recent data on their safety and efficacy.
Autores principais:Moutinho-Ribeiro,Pedro
Outros Autores:Costa-Moreira,Pedro; Caldeira,Ana; Leite,Sílvia; Marques,Susana; Moreira,Teresa; Nunes,Nuno; Bispo,Miguel
Assunto:Celiac plexus interventions Celiac plexus neurolysis Celiac plexus block Chronic pain Pancreatic cancer Chronic pancreatitis
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal

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