In this report, we present two cases of patients with upper abdominal cancer. Case 1: A 68-year-old male patient with liver cancer metastasis to the stomach and pancreatic metastasis. Case 2: A 48-year-old male patient with esophageal cancer metastasis to the liver and pancreas. Both patients did not respond to conventional analgesics, NSAIDs analgesics were used in combination with Opioids, but the patients still had severe pain. The VAS pain score was always 9/10. We performed radiofrequency ablation of the celiac plexus, which significantly reduced the patient's pain level immediately afterwards without any complications. Case 1: The patient was followed up with lasting pain relief after 9 months with a VAS score of 2/10. Case 2: The patient was followed up with lasting pain relief after 5 months with a VAS score of 1/10 and the patient was able to return to normal daily activities. Radiofrequency ablation of the celiac plexus is a safe, effective method that can provide long-term pain relief for patients with upper abdominal cancer.
1. RADIOFREQUENCY ABLATION OF THE CELIAC PLEXUS FOR THE TREATMENT OF UPPER ABDOMINAL CANCER PAIN
22
Views
24
Downloads
Keywords
Celiac plexus
upper abdominal cancer
radiofrequency
pain.
Abstract
References
[1]
Raja S.N, Carr D.B, Cohen M et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain, 2020, 161 (9): 1976-1982.
Google Scholar
[2]
Caraceni A, Shkodra M. Cancer Pain Assessment and Classification. Cancers, 2019, 11 (4): 1-13.
Google Scholar
[3]
Kambadakone A, Thabet A, Gervais D.A et al. CT-guided Celiac Plexus Neurolysis: A Review of Anatomy, Indications, Technique, and Tips for Successful Treatment, 2011, 31 (6): 1599-1621.
Google Scholar
[4]
Paul A, Borkar A. Fluoroscopy-Guided Splanchnic Nerve Block for Cancer-Associated Pain. Cureus, 2022, 14 (10): 1-7.
Google Scholar
[5]
Yang J, Bauer B.A, Wahner-Roedler D.L et al. The modified WHO analgesic ladder: Is it appropriate for chronic non-cancer pain? 2020, 411-417.
Google Scholar
[6]
Pereira G.A.M, Lopes P.T.C et al. Celiac plexus block: an anatomical study and simulation using computed tomography, 2014, 47 (5): 283-287.
Google Scholar
[7]
Kim S.H, Jang K.H, Cheon B.K et al. Paraplegia after celiac plexus neurolysis in a patient with pancreatic cancer: A case report and literature review. Anesth Pain Med, 2019, 14 (1): 85-90.
Google Scholar
[8]
Penman I.D. Coeliac plexus neurolysis. Best Practice & Research Clinical Gastroenterology, 2009, 23 (5): 761-766.
Google Scholar
[9]
Raj P.P, Sahinler B, Lowe M. Radiofrequency Lesioning of Splanchnic Nerves. Pain Practice, 2002, 2 (3): 241-247.
Google Scholar
[10]
Moore J.C, Adler D.G. Celiac plexus neurolysis for pain relief in pancreatic cancer. J Support Oncol, 2009, 7 (3): 83-87.
Google Scholar