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Medline ® Abstract for Reference 13

of 'Endoscopic ultrasound-guided celiac plexus and ganglia interventions'

Celiac plexus block for visceral pain.
Carroll I
Curr Pain Headache Rep. 2006;10(1):20.
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.
Stanford University School of Medicine, Palo Alto, CA 94034-1573, USA. irc38@pain.stanford.edu