PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “CELIAC PLEXUS”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 541 records · Page 30Linked to original sources
PubMed1998

Chronic pain management--upper visceral malignancies coeliac plexus block with CT scanning--a case report.

Coeliac plexus block has been described more than seventy years ago and is widely used for chronic pain management in upper visceral malignancies. The technique described here is a posterior approach using CT scan guidance with absolute ethyl alcohol. A case illustration of a patient with carcinoma of pancreas managed with coeliac plexus block for pain control is presented.

Celiac Plexus↗
PubMed2001

The intermesenteric plexus in the pigeon (Columba livia GM).

Using the thiocholine method and histological techniques the intermesenteric plexus of the pigeon was studied. The intermesenteric plexus of this species is a plexo-ganglionic structure with several (five to seven) ganglia and nerve fibres. The ganglia have an oval-, spindle- or star-like shape. Single nerve cells along the nerve fibres were observed. The intermesenteric plexus of the pigeon is situated on the ventrolateral surface of the aorta, between the cranial mesenteric artery and caudal mesenteric artery. The connections between the intermesenteric and other vegetative plexuses (coeliac plexus, mesenteric inferior plexus) and the pelvic nerve were observed.

Animals↗
PubMed2001

Coeliac plexus block: utility of the anterior approach and the real time colour ultrasound guidance in cancer patient.

AIMS: The aim of our study was to demonstrate the efficacy of ultrasound-guidance compared with computed tomography (CT) guidance for coeliac plexus block in cancer patients. METHODS: Coeliac plexus block (30 ml ethanol) was performed in 34 cancer patients (sex ratio: 10F, 24M), mean age: 54.8 years (range 26-67) under CT (n=21) and ultrasound-guidance (n=13). All patients had excruciating epigastric and generalized abdominal pain caused by cancer of the pancreas (n=13) or upper abdominal viscera (n=9) or a malignancy of extra-digestive origin (n=12). Feasibility and complication rates were analysed. RESULTS: Notable pain relief was obtained in 27 (79%) of the patients. The technical success rate was 100% for CT-guidance and 93% (13/14) for ultrasound guidance. There were six minor complications (17%): chemical peritonitis (n=2), orthostatic arterial hypotension (n=2) and transient left shoulder pain (n=2), no major complications occurred. The target route was transhepatic in 6/13 of the ultrasound cases and mean length was 6 cm (range 3-12 cm). Colour Doppler sonography improved visualization of the 21 Gauge Chiba needle when the needle shaft was vibrated. Echogenic foci were observed around the origin of the coeliac trunk and superior mesenteric artery in all cases. CT coeliac block was successfully performed after failure of ultrasound guidance in one patient. CONCLUSION: Ultrasound guidance is safe and effective and should be attempted for coeliac plexus block whenever possible.

Abdominal Neoplasms↗
PubMed1996

[Paraplegia following coeliac plexus block by anterior approach under direct vision].

We report here a case of paraplegia following coeliac plexus block by anterior approach under direct vision. Laparotomy was performed in a 62-year-old male patient with pancreatic cancer. Coeliac plexus block was undertaken in order to control his back pain, since the tumor was unresectable. The patient complained of numbness and weakness of his legs 14 hours later. The consequence of neurological events was diagnosed as ischemic infarct of the spinal cord by myelo-CT and MRI. He died of pancreatic cancer without recovery of neurological disturbances 4 months after the surgery. As demonstrated in this case, even when coeliac plexus block was performed by open anterior approach under direct vision, paraplegia might be a possible complication due to the anatomical proximity of coeliac plexus to the Adamkiewicz's artery.

Autonomic Nerve Block↗
PubMed1991

Diarrhoea--an unrecognised hazard of coeliac plexus block.

Coeliac plexus block is a safe procedure with relatively few side-effects. We report two cases of persistent severe diarrhoea following coeliac plexus block and explore the possible reasons for this previously unrecognised side-effect. We postulate that somatostatin analogue may be useful as treatment for diarrhoea following neurolytic coeliac plexus block that is unresponsive to conventional anti-diarrhoeal agents.

Adult↗
PubMed1975

Observations on the relief of pancreatic pain.

Disabling pain of pancreatic origin can be relieved by drugs, by direct surgery to the pancreas, or by denervation of the pancreas. The place of each is discussed in the management of pancreatic pain. The special role of a coeliac plexus block in these cases is emphasized and the technique of its performance is described in detail.

Celiac Plexus↗