Endoscopic Ultrasound-Guided Pain Management

Role of Endoscopic Ultrasound in Pancreatic Cancer Diagnosis and Management

“…Celiac plexus neurolysis is typically performed with an injection of a combination of dehydrated 98% absolute alcohol, a neurolytic agent, and 0.25% bupivacaine, an analgesic agent. Three predominant techniques have been described for EUS–CPN, including central injection (anterior to the root of the celiac artery), bilateral injection (bilateral injection at the root of the celiac artery), and direct injection into the celiac ganglia [ 70 , 71 ]. In a meta-analysis by Koulouris and colleagues, the overall pain remission response rate was 68% after 2 weeks and 53% after 4 weeks [ 72 ].…”