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Percutaneous Neurolysis of the Celiac Plexus and Splanchnic Nerves

Under CT and color Doppler US Guidance

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Conclusion

With results at least equal to surgical methods and a low rate of major complications, percutaneous neurolysis under CT or ultrasound guidance be largely available. It has the potential of significantly improving the quality of the terminal life of patients suffering from incurable neoplastic abdominal pathology.

Carried out almost on an outpatient basis (24 hours), this treatment reduces the length of hospital stays, and preserves the patient’s quality of life and autonomy. The indication remain within a multidisciplinary context, particularly within that of pain and care center. Although easy to carry out, the procedure is rarely renewed on patients with a rather short expectancy.

In the case of pain secondary to an inflammatory pathology, in particular chronic pancreatitis, upon which the efficacy of celiac neurolysis is reduced, the situation seems totally different. The procedure must be regularly repeated to obtain a lasting analgesic effect, thereby increasing the risks of complications. In such cases, it would seem reasonable to insist on other analgesic therapies before attempting celiac neurolysis.

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Author information

Authors and Affiliations

  1. Centre Hospitalier Universitaire Jean-Minjoz, Boulevard Fleming, France

    Bruno Kastler (Professor of Radiology and head of Service de Radiologie, Director of Laboratoire D’Imagerie d’Ingénierie pour la Santé)

  2. Université de Franche-Comté, Besançon, France

    Bruno Kastler (Professor of Radiology and head of Service de Radiologie, Director of Laboratoire D’Imagerie d’Ingénierie pour la Santé)

  3. Service de Radiologie, Centre Hospitalier Universitaire Jean-Minjoz, Besançon, France

    Jean-François Litzler

  4. Service de Radiologie, Centre Antoine-Lacassagne, Nice, France

    Pierre-Yves Marcy

  5. Centre Hospitalier Universitaire Sherbrook, Quebec, Canada

    Gérard Schmutz (Professor of Radiology and head of Service de Radiologie)

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  1. Bruno Kastler
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  3. Pierre-Yves Marcy
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  4. Gérard Schmutz
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Editors and Affiliations

  1. Service de Radiologie A et C, Centre Hospitalier et Universitaire Jean-Minjoz, Boulevard Fleming, France

    Bruno Kastler (Professor of Radiology, Head of Radiology and Director of Laboratoire d’Imagerie et d’Ingénierie pour la Santé) (Professor of Radiology, Head of Radiology and Director of Laboratoire d’Imagerie et d’Ingénierie pour la Santé)

  2. Université de Franche-Comté, Besançon, France

    Bruno Kastler (Professor of Radiology, Head of Radiology and Director of Laboratoire d’Imagerie et d’Ingénierie pour la Santé) (Professor of Radiology, Head of Radiology and Director of Laboratoire d’Imagerie et d’Ingénierie pour la Santé)

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Kastler, B., Litzler, JF., Marcy, PY., Schmutz, G. (2007). Percutaneous Neurolysis of the Celiac Plexus and Splanchnic Nerves. In: Kastler, B., Barral, FG., Fergane, B., Pereira, P. (eds) Interventional Radiology in Pain Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-47199-8_11

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  • DOI: https://doi.org/10.1007/978-3-540-47199-8_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-24810-1

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