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EUS-Guided Celiac Plexus Block and Celiac Plexus Neurolysis

  • Truptesh H. KothariEmail author
  • Shivangi Kothari
  • Vivek Kaul
Chapter

Abstract

Abdominal malignancy or Chronic pancreatitis can present with symptom of abdominal pain. In this review chapter, we will briefly understand the pathophysiology of abdominal pain related to celiac plexus, indications, treatment options, modality of treatment options, and technique of celiac plexus block or neurolysis.

Keywords

Celiac plexus block Celiac plexus neurolysis Abdominal pain Celiac plexus ganglion Triamcinolone Bupivacaine Absolute alcohol 

Supplementary material

Video 7.1

Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) (MP4 140796 kb)

References

  1. 1.
    de Oliveira R, dos Reis MP, Prado WA. The effects of early or late neurolytic sympathetic plexus block on the management of abdominal or pelvic cancer pain. Pain. 2004;110(1-2):400–8.CrossRefGoogle Scholar
  2. 2.
    Staats PS, Hekmat H, Sauter P, Lillemoe K. The effects of alcohol celiac plexus block, pain, and mood on longevity in patients with unresectable pancreatic cancer: a double blind, randomized, placebo-controlled study. Pain Med. 2001;2(1):28–34.CrossRefGoogle Scholar
  3. 3.
    Wong GY, Schroeder DR, Carns PE, et al. 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. 2004;291(9):1092–9.CrossRefGoogle Scholar
  4. 4.
    De Cicco M, Matovic M, Balestreri L, Fracasso A, Morassut S, Testa V. Single-needle celiac plexus block: is needle tip position critical in patients with no regional anatomic distortions? Anesthesiology. 1997;87(6):1301–8.CrossRefGoogle Scholar
  5. 5.
    Loukas M, Klaassen Z, Merbs W, Tubbs RS, Gielecki J, Zurada A. A review of the thoracic splanchnic nerves and celiac ganglia. Clin Anat. 2010;23(5):512–22.CrossRefGoogle Scholar
  6. 6.
    Mercadante S, Nicosia F. Celiac plexus block: a reappraisal. Reg Anesth Pain Med. 1998;23(1):37–48.PubMedGoogle Scholar
  7. 7.
    Puli SR, Reddy JB, Bechtold ML, Antillon MR, Brugge WR. EUS-guided celiac plexus neurolysis for pain due to chronic pancreatitis or pancreatic cancer pain: a meta-analysis and systematic review. Dig Dis Sci. 2009;54(11):2330–7.CrossRefGoogle Scholar
  8. 8.
    Kappis M. Erfahrungen mit Lokalanasthesie bei Bauchoperationen. Verh Dtsch Gesellsch Chir. 1914;43:87–9.Google Scholar
  9. 9.
    Faigel DO, Veloso KM, Long WB, et al. Endosonography guided celiac plexus injection for abdominal pain due to chronic pancreatitis. Am J Gastroenterol. 1996;91:1675.PubMedGoogle Scholar
  10. 10.
    Wiersema MJ, Wiersema LM. Endosonography-guided celiac plexus neurolysis. Gastrointest Endosc. 1996;44:655–62.Google Scholar
  11. 11.
    Gress F, Schmitt C, Sherman S, Ciaccia D, Ikenberry S, Lehman G. Endoscopic ultrasound-guided coeliac plexus block for managing abdominal pain associated with chronic pancreatitis: a prospective single-center experience. Am J Gastroenterol. 2001;96:409–16.CrossRefGoogle Scholar
  12. 12.
    Wyse JM, Battat R, Sun S, et al. Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis. Endosc Ultrasound. 2017;6(6):369–75.CrossRefGoogle Scholar
  13. 13.
    Erdine S. Celiac ganglion block. Agri. 2005;17(1):14–22.PubMedGoogle Scholar
  14. 14.
    Yasuda I, Wang HP. Endoscopic ultrasound-guided celiac plexus block and neurolysis. Dig Endosc. 2017;29(4):455–62.CrossRefGoogle Scholar
  15. 15.
    Sahai AV, Lemelin V, Lam E, et al. Central vs. bilateral endoscopic ultrasound-guided celiac plexus block or neurolysis: a comparative study of short-term effectiveness. Am J Gastroenterol. 2009;104:326–9.CrossRefGoogle Scholar
  16. 16.
    LeBlanc JK, Al-Haddad M, McHenry L, et al. A prospective, randomized study of EUS-guided celiac plexus neurolysis for pancreatic cancer: one injection or two? Gastrointest Endosc. 2011;74:1300–7.CrossRefGoogle Scholar
  17. 17.
    Sakamoto H, Kitano M, Kamata K, et al. EUS-guided broad plexus neurolysis over the superior mesenteric artery using a 25-gauge needle. Am J Gastroenterol. 2010;105:2599–606.CrossRefGoogle Scholar
  18. 18.
    Levy M, Rajan E, Keeney G, et al. Neural ganglia visualized by endoscopic ultrasound. Am J Gastroenterol. 2006;101:1787–91.CrossRefGoogle Scholar
  19. 19.
    Levy MJ, Topazian MD, Wiersema MJ, et al. Initial evaluation of the efficacy and safety of endoscopic ultrasound-guided direct ganglia neurolysis and block. Am J Gastroenterol. 2008;103:98–103.CrossRefGoogle Scholar
  20. 20.
    Doi S, Yasuda I, Kawakami H, et al. Endoscopic ultrasound-guided celiac ganglia neurolysis vs. celiac plexus neurolysis: a randomized multicenter trial. Endoscopy. 2013;45:362–9.CrossRefGoogle Scholar
  21. 21.
    Gress F, Schmitt C, Sherman S, Ikenberry S, Lehman G. A prospective randomized comparison of endoscopic ultrasound- and computed tomography-guided celiac plexus block for managing chronic pancreatitis pain. Am J Gastroenterol. 1999;94(4):900–5.CrossRefGoogle Scholar
  22. 22.
    Alvarez-Sánchez MV, Jenssen C, Faiss S, et al. Interventional endoscopic ultrasonography: an overview of safety and complications. Surg Endosc. 2014;28:712–34.CrossRefGoogle Scholar
  23. 23.
    Fusaroli P, Jenssen C, Hocke M, Burmester E, Buscarini E, Havre RF, Ignee A, et al. EFSUMB guidelines on interventional ultrasound (INVUS), part V—EUS-guided therapeutic interventions (short version). Ultraschall Med. 2016;37:412–20.CrossRefGoogle Scholar
  24. 24.
    Gress F, Ciaccia D, Kiel J, Sherman S, Lehman G. Endoscopic ultrasound (EUS) guided celiac plexus block (CB) for management of pain due to chronic pancreatitis (CP): a large single center experience. Gastrointest Endosc. 1997;45:AB173.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Truptesh H. Kothari
    • 1
    Email author
  • Shivangi Kothari
    • 1
  • Vivek Kaul
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineUniversity of Rochester Medical CenterRochesterUSA

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