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World J Gastrointest Endosc. Jun 16, 2010; 2(6): 228-231
Published online Jun 16, 2010. doi: 10.4253/wjge.v2.i6.228
Published online Jun 16, 2010. doi: 10.4253/wjge.v2.i6.228
Endoscopic ultrasound-guided celiac plexus neurolysis
Assaad M Soweid, Cecilio Azar, The American University of Beirut, Medical Center, Endoscopy-Bronchoscopy Unit, Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, Hamra 1103 2090, Beirut, Lebanon
Author contributions: Both Azar C and Soweid AM drafted the article; and Soweid AM also made a critical revision and gave final approval.
Correspondence to: Assaad M Soweid, MD, FACG, FASGE, Endosonography and Advanced Therapeutic Endoscopy Director, Endoscopy-Bronchoscopy Unit, Division of Gastroenterology, Department of Internal Medicine, American University of Beirut Medical Center, PO Box 113-6044/Hamra 1103 2090, Beirut, Lebanon. as25@aub.edu.lb
Telephone: +961-1-374374 Fax: +961-1-370814
Received: January 18, 2010
Revised: May 25, 2010
Accepted: June 1, 2010
Published online: June 16, 2010
Revised: May 25, 2010
Accepted: June 1, 2010
Published online: June 16, 2010
Abstract
Endoscopic celiac plexus neurolysis (CPN) has become the procedure of choice for the management of patients with pancreatic cancer and abdominal pain unresponsive to medical treatment. It is necessary to differentiate between CPN and endoscopic celiac plexus block performed in patients with benign disease. In this review we describe the technique of this procedure with special emphasis on technical details.