Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

被引：26

作者：

Wyse, Jonathan M. ^{[1
]}

Battat, Robert ^{[1
]}

Sun, Siyu ^{[3
]}

Saftoiu, Adrian ^{[4
]}

Siddiqui, Ali A. ^{[5
]}

Leong, Ang Tiing ^{[15
]}

Arturo Arias, Brenda Lucia ^{[16
]}

Fabbri, Carlo ^{[17
]}

Adler, Douglas G. ^{[6
]}

Santo, Erwin ^{[20
]}

Kalaitzakis, Evangelos ^{[21
]}

Artifon, Everson ^{[22
]}

Mishra, Girish ^{[7
]}

Okasha, Hussein Hassan ^{[23
]}

Poley, Jan Werner ^{[24
]}

Guo, Jintao ^{[3
]}

Vila, Juan J. ^{[25
]}

Lee, Linda S. ^{[8
]}

Sharma, Malay ^{[26
]}

Bhutani, Manoop S. ^{[9
]}

Giovannini, Marc ^{[31
]}

Kitano, Masayuki ^{[32
]}

Eloubeidi, Mohamad Ali ^{[10
]}

Khashab, Mouen A. ^{[11
,12
]}

Nguyen, Nam Q. ^{[34
]}

Saxena, Payal ^{[35
]}

Vilmann, Peter ^{[20
]}

Fusaroli, Pietro ^{[18
]}

Garg, Pramod Kumar ^{[27
]}

Ho, Sammy ^{[13
]}

Mukai, Shuntaro ^{[33
]}

Carrara, Silvia ^{[19
]}

Sridhar, Subbaramiah ^{[14
]}

Lakhtakia, Sundeep ^{[28
]}

Rana, Surinder S. ^{[29
]}

Dhir, Vinay ^{[30
]}

Sahai, Anand V. ^{[2
]}

机构：

[1] McGill Univ, Jewish Gen Hosp, Div Gastroenterol, Montreal, PQ H3A 2T5, Canada

[2] Ctr Hosp Univ Montreal, Div Gastroenterol, Montreal, PQ, Canada

[3] China Med Univ, Shengjing Hosp, Endoscopy Ctr, 36 Sanhao St, Shenyang 110004, Liaoning, Peoples R China

[4] Univ Med & Pharm, Res Ctr Gastroenterol & Hepatol Craiova, Craiova, Romania

[5] Thomas Jefferson Univ Hosp, Div Gastroenterol & Hepatol, Philadelphia, PA 19107 USA

[6] Univ Utah, Sch Med, Dept Internal Med, Div Gastroenterol, Salt Lake City, UT USA

[7] Wake Forest Baptist Hlth, Dept Gastroenterol, Winston Salem, NC USA

[8] Brigham & Womens Hosp, Div Gastroenterol Hepatol & Endoscopy, 75 Francis St, Boston, MA 02115 USA

[9] Univ Texas MD Anderson Canc Ctr, Dept Gastroenterol Hepatol & Nutr, Houston, TX 77030 USA

[10] Northeast Alabama Reg Med Ctr, Div Gastroenterol, Anniston, AL USA

[11] Johns Hopkins Univ Hosp, Dept Med, Baltimore, MD 21287 USA

[12] Johns Hopkins Univ Hosp, Div Gastroenterol & Hepatol, Baltimore, MD 21287 USA

[13] Montefiore Med Ctr, Div Gastroenterol & Liver Dis, 111 E 210th St, Bronx, NY 10467 USA

[14] Augusta Univ, Sect Gastroenterol Hepatol, Augusta, GA USA

[15] Changi Gen Hosp, Dept Gastroenterol & Hepatol, Singapore, Singapore

[16] Univ Caldas, Hosp Caldas, Surg Clin Gastroenterolgy, Manizales, Colombia

[17] AUSL Bologna Bellaria Maggiore Hosp, Unit Gastroenterol & Digest Endoscopy, Bologna, Italy

[18] Univ Bologna, Hosp Imola, Dept Med & Surg Sci, Gastroenterol Unit, Bologna, Italy

[19] Humanitas Res Hosp, Digest Endoscopy Unit, Div Gastroenterol, Milan, Italy

[20] Tel Aviv Sourasky Med Ctr, Dept Gastroenterol, Tel Aviv, Israel

[21] Div Gastroenterol, Digest Endoscopy Unit, Copenhagen, Denmark

[22] Ana Costa Hosp, Dept Surg, Sao Paulo, Brazil

[23] Cairo Univ, Dept Internal Med, Cairo, Egypt

[24] Erasmus Univ, Dept Gastroenterol & Hepatol, Med Ctr, Rotterdam, Netherlands

[25] Complejo Hosp Navarra, Endoscopy Unit, Pamplona, Spain

[26] Jaswant Rai Specialty Hosp, Dept Gastroenterol, Meerut, Uttar Pradesh, India

[27] All India Inst Med Sci, Dept Gastroenterol, New Delhi, India

[28] Asian Inst Gastroenterol, Dept Gastroenterol, Hyderabad, Telangana, India

[29] Postgrad Inst Med Educ & Res, Dept Gastroenterol, Chandigarh, India

[30] Global Hosp, Baldota Inst Digest Sci, Mumbai, Maharashtra, India

[31] Inst Paoli Calmettes, Endoscop Unit, Marseille, France

[32] Wakayama Med Univ, Dept Internal Med 2, Wakayama, Japan

[33] Tokyo Med Univ, Dept Gastroenterol & Hepatol, Tokyo, Japan

[34] Royal Adelaide Hosp, Dept Gastroenterol & Hepatol, North Terrace, Adelaide, SA, Australia

[35] Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, Camperdown, NSW, Australia

来源：

ENDOSCOPIC ULTRASOUND | 2017年 / 6卷 / 06期

关键词：

Celiac plexus neurolysis; endoscopic ultrasound; guideline; pancreatic cancer; UNRESECTABLE PANCREATIC-CANCER; GANGLIA NEUROLYSIS; CONTROLLED-TRIAL; PAIN; BLOCK; ULTRASONOGRAPHY; COMPLICATION; MANAGEMENT; INFARCTION; SAFETY;

D O I：

10.4103/eus.eus_97_17

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objectives: The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Results: Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. Conclusions: EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

引用

页码：369 / 375

页数：7

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