Techniques in Gastrointestinal Endoscopy
Volume 9, Issue 1 , Pages 20-24, January 2007

EUS-Guided Celiac Plexus Block and Celiac Plexus Neurolysis

  • Sarto C. Paquin, MD, FRCP(C)
    • ,
  • Anand V. Sahai, MD, MSc (epid), FRCP(C)

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Anand V. Sahai MD, MSc (Epid), FRCPC, CHUM, Hôpital Saint-Luc, 1058 rue St-Denis, Montréal, Québec, H2X 3J4, Canada.

Division of Gastroenterology, Department of Medicine, Centre Hospitalier de l’Université, de Montréal, Hôpital Saint-Luc, Montréal, Québec, Canada.

EUS-guided celiac plexus neurolysis (CPN) and celiac plexus block (CPB) are safe and at least as effective as percutaneous approaches. EUS-guided CPN is particularly effective for pain related to malignant involvement of the celiac ganglia. For patients without cancer, CPB is generally used instead but appears to be less effective. Given the different injectates, needles, and techniques that are available, there are many possible ways to perform the procedure. Further studies are needed to clarify the most effective way to perform the technique and to determine the optimal place for it in the therapeutic algorithms.

Keywords: endoscopic ultrasound, celiac plexus neurolysis, celiac plexus block

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PII: S1096-2883(06)00088-X

doi:10.1016/j.tgie.2006.11.011

Techniques in Gastrointestinal Endoscopy
Volume 9, Issue 1 , Pages 20-24, January 2007

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