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Endoscopic Ultrasound-Guided Celiac Plexus Block and Celiac Plexus Neurolysis

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Diagnostic and Therapeutic Procedures in Gastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Endoscopic ultrasound-guided celiac plexus block and celiac plexus neurolysis are two techniques used to control pain associated with chronic pancreatitis and pancreatic cancer, respectively. These procedures are safe, have few absolute contraindications, and are relatively well tolerated. Celiac plexus block and celiac plexus neurolysis use bupivacaine followed by triamcinolone or ethyl alcohol, respectively. On average, the long-term effect of celiac plexus block is 3 months, and repeat blocks can be administered. Direct celiac plexus ganglia neurolysis is gaining acceptance in clinical practice, and further research is needed to evaluate the effectiveness of this technique.

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Authors and Affiliations

  1. Division of Digestive and Liver Diseases, Columbia University Medical Center, New York, NY, USA

    Amit H. Sachdev, Ali S. Khan & Frank G. Gress

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  1. Amit H. Sachdev
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  2. Ali S. Khan
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  3. Frank G. Gress
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Correspondence to Frank G. Gress .

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Editors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

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Sachdev, A.H., Khan, A.S., Gress, F.G. (2018). Endoscopic Ultrasound-Guided Celiac Plexus Block and Celiac Plexus Neurolysis. In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_40

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  • DOI: https://doi.org/10.1007/978-3-319-62993-3_40

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