Celiac ganglion blockade: the effectiveness of CT guided percutaneous anterior approach
Küçük Resim Yok
Tarih
2003
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
PURPOSE: To investigate the effectiveness and safety of celiac ganglion blockade in cases with abdominal malignancies who are narcotic analgesic dependent for control of severe abdominal pain. MATERIALS AND METHODS: A total of 30 celiac ganglion blockades were performed in 27 patients between the ages of 19 and 75. A 22 G Chiba needle was placed through the percutaneous anterior approach into the celiac ganglion region under the guidance of CT, and 98% alcohol was administered. The procedure was repeated in three cases due to insufficient response. RESULTS: In 24 (88.8%) of the 27 cases, the severity of pain decreased. Total relief of the pain was achieved in 13 (48.1%) cases. In 9 (33.3%) cases pain was controlled with non-narcotic analgesics. In 2 (7.4%) cases, the dose of the narcotic analgesic decreased. There was no change in the severity of the pain in 3 (11.1%) cases. Transient complications were diarrhea in 4 (14.8%), hypotension in 6 (22.2%) cases and hemiparesis in one (3.7%) case. CONCLUSION: Celiac ganglion blockade through the percutaneous anterior approach under the guidance of CT should be preferred for the control of pain in the early periods in cases with abdominal malignancies, especially gastric and pancreatic, due to easy performance, safety, lower incidence of complications, high success rate and low cost.
Açıklama
Anahtar Kelimeler
alcohol, abdominal pain, abdominal tumor, adult, aged, article, computer assisted tomography, evaluation, female, human, interventional radiology, intractable pain, male, methodology, middle aged, nerve block, sympathetic ganglion, treatment outcome, Abdominal Neoplasms, Abdominal Pain, Adult, Aged, Autonomic Nerve Block, Ethanol, Female, Ganglia, Sympathetic, Humans, Male, Middle Aged, Pain, Intractable, Radiography, Interventional, Tomography, X-Ray Computed, Treatment Outcome
Kaynak
Tanisal ve girişimsel radyoloji : Tibbi Görüntüleme ve Girişimsel Radyoloji Dernegi yayin organi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
9
Sayı
4
