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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2013; 04(04): 099-102
DOI: 10.4103/0976-5042.132394
Review Article
Society of Gastrointestinal Endoscopy of India

EUS-guided celiac plexus neurolysis/block

Narendra S. Choudhary
Institute of Digestive and Hepatobiliary Sciences Medanta, The Medicity, Gurgaon, Haryana, India
,
Rajesh Puri
Institute of Digestive and Hepatobiliary Sciences Medanta, The Medicity, Gurgaon, Haryana, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Refractory chronic abdominal pain as a result of inoperable pancreatic cancer or chronic pancreatitis poses a formidable challenge and can be effectively relieved with celiac axis block or celiac plexus neurolysis (CPN). Percutaneous celiac plexus block (CPB) or computed tomography (CT)-guidance using anterior or posterior approaches has some limitations. However, endoultrasound (EUS)-guided CPB has evolved itself as an effective and safe procedure for management of refractory abdominal pain. The EUS offers advantages, which include accurate anatomic imaging, real-time monitoring of injection, and anterior approach, which avoids neurologic complications. The CPN can be combined with staging and fine-needle aspiration cytology (FNAC) of a malignancy in the same session. The present review discusses anatomic details of celiac axis block, procedure-related details, complications, contraindications, comparison to other modalities, and results of various studies and author’s experience of EUS guided CPB/neurolysis.

Key words

Celiac plexus - computed tomography - endoscopic ultrasound - neurolysis
 

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