The celiac sympathetic ganglia are located on both sides of the celiac artery anterior to the aorta and anterior to the crura of the diaphragms. The visceral cancer pain may be eliminated from the upper abdominal viscera (pancreas, liver, gallbladder, stomach) by a neurolytic celiac plexus block (NCPB). The primary sympathetic ganglia involved in pain include the stellate ganglion, celiac plexus, lumbar sympathetic ganglion, superior hypogastric plexus, and ganglion impar. To block the sympathetic nerve, we inject local anesthetic into the sympathetic chain at different sites. The sympathetic degeneration can be performed with local anesthesia, nerve analyzers, and neurectomy techniques such as radiofrequency lesioning procedure. Numerous case series and reports have been published, but there are few blinded, placebo-controlled studies. In spite of the repeated use of minimally invasive sympathetic blocks by pain practitioners, their effectiveness in providing analgesia has been scantly reported. The sympathetic ganglia were the target of local anesthetic block to evaluate the role of the sympathetic nervous system in pain transmission. It has been involved in the neuropathic pain (NeP), the vascular, and visceral pain. ![]() The sympathetic nervous system (SNS) is the part of the autonomic nervous system that controls the body's involuntary activities. The influence of the sympathetic nervous system as a factor in a diversity of painful states in humans was a part of traditional medical wisdom for more than 100 years. On the contrary, many other symptoms may appear in the patients who receive the chemotherapy or radiation after approximately 40 days of receiving treatments, thus the emergence of more pain and resulting in the emergence of more other symptoms. , indicated that the idea of controlling severe pain in the disease is no longer sufficient and must be developed, as its percentage did not exceed 42% of the number of patients, especially among the patients with cancer who receive cancer treatments Geffen et al. A population study, vanden Beuken-van Everdingen et al. This effective celiac block, regardless of the technique used, produced immediate analgesics that permitted significant opioid decrease in the study sample with a significant improvement in the unwanted adverse effects on account of opioids.ĭespite the tremendous developments in science, especially in reducing the severity of pain, there is still presence of pain, especially in the patients with cancer, as those percentages may range between 14 and 100%. It is noticeable and good in conducting this research that there are no major complications that include a large space on the study sample, despite the presence of some minor with no significant differences between ultrasound and fluoroscopy groups. Through the data that have been recorded and statistically analyzed, we found that the mean values of VAS were decreased in the two groups, and there was statistically significant difference between ultrasound and fluoroscopy groups. ![]() The differences between two techniques (ultrasound and fluoroscopy guided) are highlighted in terms of effectiveness by means of a Visual Analog Scale (VAS), a percentage reduction in daily morphine consumption and any complications are recorded and evaluated at the time of implementation of each technique from start to finish. One of the most common indications for the celiac plexus block is the treatment of abdominal pain associated with pancreatic cancer. The major indication for celiac plexus block is abdominal pain that is nonresponsive to analgesic interventions often these patients are nonresponsive to high-dose opioid therapies.
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