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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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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