Help
Subscribe


All of GastroHep is now free access! - Click here to register Read For FREE - Our full range of review articles
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Guido Tytgat Profile of Pete Peterson Profile of Peter Cotton Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

EUS-guided implantation of iodine-125 around celiac ganglion reduces pain in pancreas cancer

This month's issue of Gastrointestinal Endoscopy EUS-guided celiac ganglion irradiation with iodine-125 seeds for pain control in panceatic carcinoma.

News image

Celiac plexus neurolysis for the palliative reduction of pain in unresectable pancreatic carcinoma is safe but provides limited relief.

Dr Kai-Xuan Wang and colleagues from China previously reported that the EUS-guided implantation of iodine-125 (125I) around the celiac ganglia is a safe procedure, and can induce apoptosis of local neurons in a porcine model.

The research team evaluate the safety and efficacy of direct celiac ganglion irradiation with 125I seeds for the relief of moderate to severe pain secondary to unresectable pancreatic carcinoma.

The researchers enrolled consecutive patients who had moderate to severe pain resulting from biopsy-proven unresectable pancreatic carcinoma.

26% reported pain exacerbation
Gastrointestinal Endoscopy

All patients underwent EUS-guided direct celiac ganglion irradiation with 125I seeds.

Follow-up was conducted at least once weekly until death.

The team's main outcomes included blood parameters, Visual Analog Scale score, mean analgesic consumption, and complications were evaluated during follow-up.

The research team found that 23 patients with unresectable pancreatic carcinoma underwent the procedure.

The mean number of seeds implanted in the celiac ganglion per patient was 4.

Immediately after the procedure, pain relief and analgesic consumption showed no significant changes compared with preoperative values.

The researchers found that 26% reported pain exacerbation.

The team noted that 2 weeks later, the Visual Analog Scale score and mean analgesic consumption were significantly less than preoperative values.

The research team observed no procedure-related deaths or major complications.

Dr Wang's team commented, "EUS-guided direct celiac ganglion irradiation with 125I seeds can reduce the Visual Analog Scale score and analgesic drug consumption in patients with unresectable pancreatic carcinoma."

Gastrointest Endoscopy 2012: 76(5): 945-952
20 November 2012

Go to top of page Email this page Email this page to a colleague

 21 April 2015

Advanced search
 21 April 2015 
Risk factors of postpartum bowel changes
 21 April 2015 
Tracking colonoscopy surveillance intervals
 21 April 2015 
PPI increases risk of cryptogenic liver abscess
 20 April 2015 
IBS after traveller's diarhea
 20 April 2015 
Adherence to Hep C treatments
 20 April 2015 
Economic impact of C. diff infection
 17 April 2015 
Synchronous colorectal advanced neoplasia
 17 April 2015 
PNPLA3 polymorphisms and NAFLD risk
 17 April 2015 
MELD score and colorectal resection
 16 April 2015 
Bleeding risk in colonic diverticulosis
 16 April 2015 
Minority use of high-volume hospitals for colorectal cancer
 16 April 2015 
Sleep and IBD
 15 April 2015 
Treatment of hepatocellular carcinoma
 15 April 2015 
Score predicts malignant bile duct obstruction
 15 April 2015 
Increased risk of Barrett esophagus
 14 April 2015 
Improving colorectal cancer screening uptake
 14 April 2015 
Colorectal cancer presenting under the age of 50
 14 April 2015 
Functional constipation vs constipation predominant IBS
 13 April 2015 
CRP and acute diverticulitis
 13 April 2015 
Immune based treatments for HCC
 13 April 2015 
Fecal transplant for C. difficile
 10 April 2015 
Hypnotherapy for IBS
 10 April 2015 
Adjuvant therapy after rectal cancer
 10 April 2015 
Viral outcomes in HCV infection
 09 April 2015 
Male IBD patients wishing to conceive
 09 April 2015 
Screening programs based on the fecal immunochemical test
 09 April 2015 
Management of esophageal food impaction
 08 April 2015 
Nonceliac gluten sensitivity
 08 April 2015 
Ambulatory hemorrhoidal surgery
 08 April 2015 
Iron fortification and gut inflammation
 07 April 2015 
Endoscopic managements of GI bleeds
 07 April 2015 
Interventions for eosinophilic esophagitis
 07 April 2015 
Treatment of Hep C virus
 06 April 2015 
Treatment for rectal cancer
 06 April 2015 
Risk stratifying Barrett's esophagus
 06 April 2015 
Cost-effectiveness of HCV
 03 April 2015 
Predicting advanced cancer in Barrett's
 03 April 2015 
Vitamin D deficiency and Hep B outcomes
 03 April 2015 
Hepatocellular carcinoma surveillance in cirrhosis
 02 April 2015 
Physical activity and NAFLD
 02 April 2015 
Genetic risk for Crohn's disease
 02 April 2015 
EUS for detection of pancreatic neuroendocrine tumors
 01 April 2015 
Analysis of liver fibrosis
 01 April 2015 
Obeticholic acid in primary biliary cirrhosis
 01 April 2015 
Mortality rates for upper GI bleeds
 31 March 2015 
HCV-HIV co-infection combination therapy
 31 March 2015 
Placement of nasoenteral feeding tubes
 31 March 2015 
Hepatic fat and gallbladder polyps
 30 March 2015 
Minimally invasive approach in colorectal procedures
 30 March 2015 
Prevalence of IBD in USA residents of Indian ancestry
 30 March 2015 
Treatment of pediatric IBD
 27 March 2015 
Screening for fecal incontinence
 27 March 2015 
Deep remission in Crohn's disease
 27 March 2015 
Sexual functioning in IBD
 26 March 2015 
Antimicrobial therapy in cirrhosis with spontaneous bacterial peritonitis
 26 March 2015 
Metformin as a chemopreventive agent for Barrett's
 26 March 2015 
Survival of untreated hepatocellular carcinoma
 25 March 2015 
Genetics and Crohn's disease
 25 March 2015 
Mortality in Barrett’s–related T1 esophageal adenocarcinoma
 25 March 2015 
Cytomegalovirus and IBD

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2015 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us