title: [Endoscopic ultrasound-guided coeliac plexus neurolysis to reduce pain in patients with pancreatic cancer].
abstract: Pain is among the most common symptoms in patients with pancreatic cancer and up to 80% require analgesics, most often as opioids. Unfortunately the analgesic effect is frequently insufficient, and increasing doses are required, resulting in unpleasant side effects. Endoscopic ultrasound-guided neurolysis is a well established method to alleviate or reduce pain due to pancreatic cancer with a documented effect in 80% of patients. The aim of this review is to draw attention to endoscopic ultrasound-guided neurolysis and to discuss its potential which may not be fully utilized.
authors.affiliation: Kirurgisk Afdeling, Nordsjællands Hospital, Dyrehavevej 29, 3400 Hiller ød. andreas.vilmann@gmail.com.
authors.forename: Andreas Slot
authors.initials: AS
authors.lastname: Vilmann
authors.forename: John Gésdal
authors.initials: JG
authors.lastname: Karstensen
authors.forename: Irina
authors.initials: I
authors.lastname: Cherciu
authors.forename: Peter
authors.initials: P
authors.lastname: Vilmann
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001340:Autonomic Nerve Block / Q000379:methods*; D002447:Celiac Plexus / Q000000981:diagnostic imaging / Q000601:surgery*; D019160:Endosonography / Q000379:methods; D006801:Humans; D059408:Pain Management / Q000379:methods; D010190:Pancreatic Neoplasms / Q000150:complications*; D014463:Ultrasonography; D018084:Ultrasonography, Interventional