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Celiac plexus neurolysis for the treatment of upper abdominal cancer pain

Authors Teixeira MJ, Neto ER, Marinho da Nobrega JC, Angelos JS, Martin MS, Monaco BA, Fonoff ET

Received 6 February 2013

Accepted for publication 28 February 2013

Published 19 August 2013 Volume 2013:9 Pages 1209—1212

DOI https://doi.org/10.2147/NDT.S43730

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Manoel Jacobsen Teixeira, Eloy Rusafa Neto, José Cláudio Marinho da Nóbrega, Jairo Silva dos Ângelos, Miguel San Martin, Bernardo Assumpção de Monaco, Erich Talamoni Fonoff

Department of Neurology, Division of Functional Neurosurgery of the Institute of Psychiatry, University of São Paulo School of Medicine, São Paulo, Brazil

Abstract: Optimal treatment of oncologic pain is a challenge to all professionals who deal with cancer and its complications. The management of upper abdominal pain is usually difficult and it is often refractory to conservative therapies. In this context, celiac plexus neurolysis (CPN) appears to be an important and indispensable tool because it alleviates pain, gives comfort to patients and is a safe procedure. In this study, the importance of CPN is reviewed by a retrospective study of 74 patients with pain due to upper abdominal cancer. Almost all cases evaluated (94.6%) had an excellent result after CPN and the majority of side effects were transitory.

Keywords: pain, celiac plexus, alcohol neurolysis, cancer

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