Pancreatic Cancer
Conditions
Keywords
carcinoma pancreas, percutaneous celiac plexus neurolysis, endosonography guided celiac plexus neurolysis
Brief summary
Coeliac plexus neurolysis (CPN) is a management option for pain control in carcinoma pancreas.CPN is conventionally performed by percutaneous technique with fluoroscopic guidance. Endoscopic ultrasound (EUS) is increasingly used for CPN as it offers a better visualization of the plexus. There are limited data comparing the two modalities.The patients are on follow-up for 6 months post neurolysis.
Detailed description
Carcinoma pancreas patients with abdominal pain requiring daily analgesics for more than 4 weeks were included.we are randomising about 100 patients into two groups to undergo either of the two procedures, i.e. celiac plexus neurolysis by percutaneous technique or by endoscopic ultrasound guided technique.The pain scores have been recorded by visual analogue scale for an average follow-up of 6 months.
Interventions
It is percutaneous injection of neurolytic agent in and around the celiac ganglion
It is injection of neurolytic agent in and around the celiac ganglion using an echo endoscope.
Sponsors
Study design
Eligibility
Inclusion criteria
* all patients with carcinoma pancreas
Exclusion criteria
* patients below 18 years of age and who have not given consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| immediate pain relief | day of block to six months of follow-up |
Countries
India