Abdominal Pain
Conditions
Brief summary
This study is to investigate the effectiveness of acupuncture for alleviating the upper abdominal pain of cancer patients
Detailed description
Neurolytic celiac plexus block (NCPB) is a commonly performed procedure in patients with intractable pain due to malignancies involving the upper and mid abdomen. Recently, acupuncture is used as one of alternative interventions to treat cancer-related pains. This pilot study aims to investigate the effectiveness of pain-relief of acupuncture via comparing acupuncture plus NCPB with NCPB alone. Total 14 cancer patients with NCPB will be randomized into two groups of acupuncture and control.
Interventions
Acupuncture is applied three times a week for 20 minutes for 2 weeks (total 6 sessions). 9 Acupuncture points, CV12, CV13, P6, SP4, ST36(bilateral),LI4 (bilateral), LR3 (bilateral), ST34 (bilateral), and GB21(bilateral) are used, and CV12, CV13, ST36, and LR3 are electro-stimulated.
An anaesthetic test is performed injecting 2ml mepivacaine. After assessing the efficacy and safety of this test, 10 ml of absolute alcohol is injected via each needle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age over 18 years * Upper abdominal pain VAS ≥ 5 * Unresectable abdominal malignancy, moderate or severe abdominal pain poorly controlled with pharmacotherapy. * All patients had advanced cancer diagnosed by histological/cytological examination * Follow-up possible during the clinical trial * Written informed consent voluntarily
Exclusion criteria
* Patient with uncorrectable coagulopathy * Patient with allergy to local anesthesics or alcohol.. * Previous NCPB or had implanted epidural or intrathecal analgesic therapy * Inability to lie prone * Disease encasing the celiac plexus on computed Tomography scan * Patients with psychiatric diseases that could have affected the study assessments * Significant renal or hepatic disease * Inability to comprehend or express oneself in the Korean language * Refusal to participate in the trial or to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale(VAS) | Change from baseline to 2 weeks | The patients will be required to document 100mm pain VAS, where '0' represents 'no pain' and '100', 'unbearable pain'. The change of pain will be reported by comparing the mean VAS before treatment, after 1 week, after 2 week, and 1 week follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesic drug consumption | Change from baseline to 2 weeks | Drug consumption per day will be documented before treatment, after 1 week, after 2 week, and 1 week follow-up. |
Countries
South Korea