title: [Sonographically guided and intraoperative alcohol block of the celiac ganglia in conservatively uncontrollable cancer-induced epigastric pain].
abstract: Preliminary results of sonographically controlled alcohol injection into the region of the coeliacal ganglion for treatment of medically intractable pain in inoperable pancreas carcinoma (6 patients) are compared with results of a similar treatment using a surgical approach (10 patients). Both procedures resulted in up to total pain relief and marked reduction of consumption of analgetics. Neurolysis of the coeliacal ganglion by means of sonographically guided alcohol injection seems to be a useful treatment to reduce pain in inoperable pancreas carcinoma.
mesh_terms: D001707:Biopsy, Needle / Q000295:instrumentation; D000431:Ethanol; D005728:Ganglia, Sympathetic / Q000187:drug effects*; D006801:Humans; D010148:Intractable Pain / Q000628:therapy*; D010190:Pancreatic Neoplasms / Q000503:physiopathology*; D013563:Sympathectomy, Chemical / Q000295:instrumentation / Q000379:methods*; D014465:Ultrasonics / Q000295:instrumentation; D014463:Ultrasonography
chemical_list: D000431:Ethanol
vernacular_title: Sonographisch gezielte und intraoperative Alkoholblockade der Zöliakalganglien bei konservativ nicht beherrschbaren malignombedingten Oberbauchschmerzen.