Celiac plexus block increases quality of life in patients with pancreatic cancer.

作者: István Molnár , Gabriella Hegyi , Lajos Zsom , Christine Saahs , Jan Vagedes

DOI: 10.2147/JPR.S186659

关键词:

摘要: Background Pancreatic cancer is a malignant disease with high mortality rate and severe pain that challenging to manage. To reduce the excruciating abdominal pain, opioids adjuvant agents are conventionally used. Objectives PRNCPB treatment of neural therapy. The number studies assessing effect on patients' QoL limited inconsistent. With this study, we intended address issue. Study design A prospective nonrandomized study series cases unresectable pancreatic was conducted. Setting performed at our clinic under real life conditions. Materials methods total 16 patients were enrolled in all whom had responded combined systemic analgesic therapy inadequately intolerable side effects contraindicating further increase dose. efficacy invasive, palliative procedure evaluated 35 days after performed. Primary outcomes changed intensity using VAS questionnaire. Secondary improved SF-36 Changes medications adverse reactions monitored. Results After experienced significant decrease (P=0.002) as shown by score, decreased opiate demand. Their scores considering sizes also (P<0.001). No complications attributable observed during period. Additionally, no drug observed. Limitations Detection, observation, reporting bias can be estimated moderate. Selection not detected. Conclusion Our results give preliminary evidence might helpful an additional conventional management end-stage patients. seems improve these time frame least 5 weeks intervention.

参考文章(60)
Joseph G. Weber, Gilbert Y. Wong, David H. Stephens, David L. Brown, Celiac Plexus Block: Retrocrural Computed Tomographic Anatomy in Patients With and Without Pancreatic Cancer Regional anesthesia. ,vol. 21, pp. 407- 413 ,(1996) , 10.1136/RAPM-00115550-199621050-00002
Sara H. Olson, Robert C. Kurtz, Epidemiology of pancreatic cancer and the role of family history Journal of Surgical Oncology. ,vol. 107, pp. 1- 7 ,(2013) , 10.1002/JSO.23149
Anjie Yang, Jocelyn Brown, Ernie Mak, Persistent Diarrhea after Celiac Plexus Block in a Pancreatic Cancer Patient: Case Report and Literature Review Journal of Palliative Medicine. ,vol. 19, pp. 83- 86 ,(2016) , 10.1089/JPM.2015.0117
Fatih Ugur, Nebahat Gulcu, Adem Boyaci, Celiac plexus block with the long stylet needle technique. Advances in Therapy. ,vol. 24, pp. 296- 301 ,(2007) , 10.1007/BF02849897
Mikito Kawamata, Kunihiko Ishitani, Kunitsugu Ishikawa, Hiromi Sasaki, Koichi Ota, Keiichi Omote, Akiyoshi Namiki, Comparison between celiac plexus block and morphine treatment on quality of life in patients with pancreatic cancer pain. Pain. ,vol. 64, pp. 597- 602 ,(1996) , 10.1016/0304-3959(95)00189-1
Hiroki Sakamoto, Masayuki Kitano, Takamitsu Komaki, Hajime Imai, Ken Kamata, Masatoshi Kudo, Endoscopic Ultrasound-Guided Neurolysis in Pancreatic Cancer Pancreatology. ,vol. 11, pp. 52- 58 ,(2011) , 10.1159/000323513
Julie W. Childers, Linda A. King, Robert M. Arnold, Chronic Pain and Risk Factors for Opioid Misuse in a Palliative Care Clinic American Journal of Hospice and Palliative Medicine. ,vol. 32, pp. 654- 659 ,(2015) , 10.1177/1049909114531445
Jonathan M Wyse, Yen-I Chen, Anand V Sahai, Celiac plexus neurolysis in the management of unresectable pancreatic cancer: When and how? World Journal of Gastroenterology. ,vol. 20, pp. 2186- 2192 ,(2014) , 10.3748/WJG.V20.I9.2186
Allen H. Lebovits, Mathew Lefkowitz, Pain management of pancreatic carcinoma: a review. Pain. ,vol. 36, pp. 1- 11 ,(1989) , 10.1016/0304-3959(89)90106-1
R. A. Underwood, J. S. Wu, M. A. Quasebarth, L. M. Brunt, Development of a laparoscopic approach to neurolytic celiac plexus block in a porcine model Surgical Endoscopy and Other Interventional Techniques. ,vol. 14, pp. 839- 843 ,(2000) , 10.1007/S004640000173