Celiac plexus block for visceral pain

被引:6
作者
Carroll I. [1 ]
机构
[1] Stanford University, School of Medicine, Palo Alto, CA 94034-1573
关键词
Pancreatic Cancer; Visual Analog Score; Splanchnic Nerve; Celiac Plexus; Celiac Plexus Block;
D O I
10.1007/s11916-006-0005-3
中图分类号
学科分类号
摘要
Celiac plexus block has long been used to provide analgesia for upper abdominal pain. In particular, neurolytic celiac plexus block has been advocated for pancreatic cancer pain. In this article, recent advances clarifying the role and limitations of neurolytic celiac plexus block are reviewed. Neurolytic celiac plexus block provides persistent augmented analgesia when used as an adjunct to systemic opiates, but does not reliably decrease opiate requirements. In addition, neurolytic celiac plexus block may prolong survival, but the data supporting this remain controversial. The optimal technique for accomplishing neurolytic celiac plexus block remains undetermined. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:20 / 25
页数:5
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共 24 条
  • [1] Fujita Y., Sari A., Max Kappis and the celiac plexus block, Anesthesiology, 86, (1997)
  • [2] Beck A.N., Schafer M., Werk M., Et al., Thermoablation of liver metastases: Efficacy of temporary celiac plexus block, Cardiovasc Intervent Radiol, 28, pp. 454-458, (2005)
  • [3] Whiteman M.S., Rosenberg H., Haskin P.H., Teplick S.K., Celiac plexus block for interventional radiology, Radiology, 161, pp. 836-838, (1986)
  • [4] Madsen P., Hansen E., Coeliac plexus block versus pancreaticogastrostomy for pain in chronic pancreatitis: A controlled, randomized trial, Scand J Gastroenterol, 20, pp. 1217-1220, (1985)
  • [5] Leung J.W., Bowen-Wright M., Aveling W., Et al., Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis, Br J Surg, 70, pp. 730-732, (1983)
  • [6] Sharfman W.H., Walsh T.D., Has the analgesic efficacy of neurolytic celiac plexus block been demonstrated in pancreatic cancer pain?, Pain, 41, pp. 267-271, (1990)
  • [7] Ischia S., Ischia A., Polati E., Finco G., Three posterior percutaneous celiac plexus block techniques: A prospective, randomized study in 61 patients with pancreatic cancer pain, Anesthesiology, 76, pp. 534-540, (1992)
  • [8] Mercadante S., Celiac plexus block versus analgesics in pancreatic cancer pain, Pain, 52, pp. 187-192, (1993)
  • [9] Lillemoe K.D., Cameron J.L., Kaufman H.S., Et al., Chemical splanchnicectomy in patients with unresectable pancreatic cancer: A prospective, randomized trial, Ann Surg, 217, pp. 447-557, (1993)
  • [10] Wong G.Y., Schroeder D.R., Carns P.E., 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, 291, pp. 1092-1099, (2004)