miércoles, 25 de septiembre de 2013

Neurolisis del plexo celiaco

Neurolisis del plexo celiaco para el tratamiento de dolor oncológico de abdomen alto

Celiac plexus neurolysis for the treatment of upper abdominal cancer pain.
Teixeira MJ, Neto ER, da Nóbrega JC, Dos Ângelos JS, Martin MS, de Monaco BA, Fonoff ET.
Department of Neurology, Division of Functional Neurosurgery of the Institute of Psychiatry, University of São Paulo School of Medicine, São Paulo, Brazil.
Neuropsychiatr Dis Treat. 2013;9:1209-12. doi: 10.2147/NDT.S43730. Epub 2013 Aug 19.
Optimal treatment of oncologic pain is a challenge to all professionals who deal with cancer and its complications. The management of upper abdominal pain is usually difficult and it is often refractory to conservative therapies. In this context, celiac plexus neurolysis (CPN) appears to be an important and indispensable tool because it alleviates pain, gives comfort to patients and is a safe procedure. In this study, the importance of CPN is reviewed by a retrospective study of 74 patients with pain due to upper abdominal cancer. Almost all cases evaluated (94.6%) had an excellent result after CPN and the majority of side effects were transitory.
KEYWORDS: alcohol neurolysis, cancer, celiac plexus, pain.



Anestesiología y Medicina del Dolor

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