| Theme | Diagnostic and Interventional EUS -- Present Status and Future Perspectives | |
|---|---|---|
| Title | Recent Trends in Use of Endoscopic Ultrasound-guided Celiac Plexus Neurolysis | |
| Publish Date | 2013/12 | |
| Author | Shinpei Doi | First Department of Internal Medicine, Gifu University Hospital |
| Author | Ichiro Yasuda | First Department of Internal Medicine, Gifu University Hospital |
| Author | Takuji Iwashita | First Department of Internal Medicine, Gifu University Hospital |
| Author | Shinya Uemura | First Department of Internal Medicine, Gifu University Hospital |
| Author | Masatoshi Mabuchi | First Department of Internal Medicine, Gifu University Hospital |
| Author | Hisataka Moriwaki | First Department of Internal Medicine, Gifu University Hospital |
| [ Summary ] | Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is an alternative method of relieving cancerrelated pain. EUS-CPN can reportedly relieve pain in 70 - 80 % of patients with internal abdominal malignancies. The procedure can be performed safely and easily. Several modified techniques have been introduced in order to improve the efficacy of this procedure. Moreover, use of the EUS technique, involving visualization of the celiac ganglia, has been reported to be feasible. The efficacy of endoscopic ultrasound-guided direct celiac ganglia neurolysis (EUS-CGN) has recently been reported. Although a certain amount of experience with the procedure is required to effectively visualize the celiac ganglia via EUS, the EUS-CGN procedure is as easy to perform as conventional EUS-CPN. | |