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Endoscopic Ultrasound-Guided Celiac Plexus Interventions

2021Journal article Open access
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dc.contributor.authorMoutinho-Ribeiro, Pedro
dc.contributor.authorCosta-Moreira, Pedro
dc.contributor.authorCaldeira, Ana
dc.contributor.authorLeite, Sílvia
dc.contributor.authorMarques, Susana
dc.contributor.authorMoreira, Teresa
dc.contributor.authorNunes, Nuno
dc.contributor.authorBispo, Miguel
dc.date.accessioned2021-12-07T14:30:42Z
dc.date.available2021-12-07T14:30:42Z
dc.date.issued2021
dc.description.abstractAbdominal pain related to pancreatic disease is often extremely disabling. Endoscopic ultrasound (EUS)-guided celiac plexus block (CPB) is used to control pain associated with chronic pancreatitis. EUS-guided celiac plexus neurolysis (CPN) is typically used to reduce pain associated with pancreatic cancer and can be considered early at the time of diagnosis of inoperable disease. EUS-guided celiac plexus interventions have been shown to be significantly effective in pancreatic pain relief, which is achieved in approximately 70-80% of patients with pancreatic cancer and in 50-60% of those with chronic pancreatitis. Serious complications from CPB and CPN are rare. Most frequent adverse events are diarrhoea, orthostatic hypotension, and a transient increase in abdominal pain. In this article, the Portuguese Group for Ultrasound in Gastroenterology (GRUPUGE) presents an updated perspective of the potential role of EUS-guided celiac plexus interventions, addressing the selection criteria and technical issues of different techniques and analysing recent data on their safety and efficacy.pt_PT
dc.description.abstractA dor abdominal relacionada com doença pancreática pode ser extremamente incapacitante. O bloqueio do plexo celíaco (CPB) guiado por ecoendoscopia (EUS) é utilizado para controlo da dor associada à pancreatite crónica. A neurólise do plexo celíaco (CPN) guiada por EUS é utilizada na terapêutica da dor associada ao cancro do pâncreas, podendo ser utilizada numa fase precoce, após o diagnóstico de doença irressecável. As intervenções no plexo celíaco guiadas por EUS demonstraram ser eficazes no alívio da dor. O sucesso terapêutico é alcançado em aproximadamente 70 a 80% dos pacientes com cancro do pâncreas, e em 50 a 60% dos pacientes com pancreatite crónica. São raras as complicações severas associadas a CPB e CPN. Os eventos adversos mais frequentemente documentados correspondem a diarreia, hipotensão ortostática e a aumento transitório da dor abdominal. Neste artigo, o GRUPUGE apresenta uma perspetiva das intervenções no plexo celíaco guiadas por EUS, onde se abordam os critérios de seleção, questões técnicas relativas aos procedimentos e se analisam os dados sobre sua segurança e eficácia.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMoutinho-Ribeiro P, Costa-Moreira P, Caldeira A, et al. Endoscopic Ultrasound-Guided Celiac Plexus Interventions. GE Port J Gastroenterol. 2020;28(1):32-38. doi:10.1159/000508293pt_PT
dc.identifier.doi10.1159/000508293pt_PT
dc.identifier.issn2387-1954
dc.identifier.issn2341-4545
dc.identifier.urihttp://hdl.handle.net/10400.16/2638
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherKarger AGpt_PT
dc.relation.publisherversionhttps://www.karger.com/Article/FullText/508293pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectCeliac plexus blockpt_PT
dc.subjectCeliac plexus interventionspt_PT
dc.subjectCeliac plexus neurolysispt_PT
dc.subjectChronic painpt_PT
dc.subjectChronic pancreatitispt_PT
dc.subjectPancreatic cancerpt_PT
dc.titleEndoscopic Ultrasound-Guided Celiac Plexus Interventionspt_PT
dc.title.alternativeIntervenções no Plexo Celíaco Guiadas por Ecoendoscopiapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceSwitzerlandpt_PT
oaire.citation.endPage38pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage32pt_PT
oaire.citation.titleGE - Portuguese Journal of Gastroenterologypt_PT
oaire.citation.volume28pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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