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3 results on '"Celiac Plexus Neurolysis"'

1. Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Author

Wyse, J.M. (Jonathan M.), Battat, R. (Robert), Sun, S. (Siyu), Saftoiu, A. (Adrian), Siddiqui, A.A. (Ali A.), Leong, A.T. (Ang Tiing), Arias, B.L.A. (Brenda Lucia Arturo), Fabbri, C. (Carlo), Adler, D.G. (Douglas G.), Santo, E. (Erwin), Kalaitzakis, E. (Evangelos), Artifon, E. (Everson), Mishra, G. (Girish), Okasha, H.H. (Hussein Hassan), Poley, J.-W. (Jan-Werner), Guo, J. (Jintao), Vila, J.J. (Juan J.), Lee, L.S. (Linda S.), Sharma, M. (Malay), Bhutani, M.S. (Manoop S.), Giovannini, M. (Marcello), Kitano, M. (Masayuki), Eloubeidi, M.A. (Mohamad Ali), Khashab, M.A. (Mouen A.), Nguyen, N.Q. (Nam Q.), Saxena, P. (Payal), Vilmann, P. (Peter), Fusaroli, P. (Pietro), Garg, P.K. (Pramod Kumar), Ho, S. (Sammy), Mukai, S. (Shuntaro), Carrara, S. (Silvia), Sridhar, S. (Subbaramiah), Lakhtakia, S. (S.), Rana, S.S. (Surinder S.), Dhir, V. (Vinay), Sahai, A.V. (Anand V.), Wyse, J.M. (Jonathan M.), Battat, R. (Robert), Sun, S. (Siyu), Saftoiu, A. (Adrian), Siddiqui, A.A. (Ali A.), Leong, A.T. (Ang Tiing), Arias, B.L.A. (Brenda Lucia Arturo), Fabbri, C. (Carlo), Adler, D.G. (Douglas G.), Santo, E. (Erwin), Kalaitzakis, E. (Evangelos), Artifon, E. (Everson), Mishra, G. (Girish), Okasha, H.H. (Hussein Hassan), Poley, J.-W. (Jan-Werner), Guo, J. (Jintao), Vila, J.J. (Juan J.), Lee, L.S. (Linda S.), Sharma, M. (Malay), Bhutani, M.S. (Manoop S.), Giovannini, M. (Marcello), Kitano, M. (Masayuki), Eloubeidi, M.A. (Mohamad Ali), Khashab, M.A. (Mouen A.), Nguyen, N.Q. (Nam Q.), Saxena, P. (Payal), Vilmann, P. (Peter), Fusaroli, P. (Pietro), Garg, P.K. (Pramod Kumar), Ho, S. (Sammy), Mukai, S. (Shuntaro), Carrara, S. (Silvia), Sridhar, S. (Subbaramiah), Lakhtakia, S. (S.), Rana, S.S. (Surinder S.), Dhir, V. (Vinay), and Sahai, A.V. (Anand V.)

Abstract

Objectives: The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Results: Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. Conclusions: EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

Published
2017
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2. EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part v

Author

Fusaroli, P, Jenssen, C., Hocke, Martine, Burmester, E, Buscarini, E, Havre, R. F., Ignee, A, Saftoiu, Adrian, Vilmann, P., Nolsoe, C. P., Nürnberg, D, D'Onofrio, M., Gilja, O H, Lorentzen, T., Piscaglia, F., Sidhu, P S, Dietrich, C F, Fusaroli, P, Jenssen, C., Hocke, Martine, Burmester, E, Buscarini, E, Havre, R. F., Ignee, A, Saftoiu, Adrian, Vilmann, P., Nolsoe, C. P., Nürnberg, D, D'Onofrio, M., Gilja, O H, Lorentzen, T., Piscaglia, F., Sidhu, P S, and Dietrich, C F

Abstract

The fifth section of the Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) assesses the evidence for all the categories of endoscopic ultrasound-guided treatment reported to date. Celiac plexus neurolysis and block, vascular intervention, drainage of fluid collections, drainage of biliary and pancreatic ducts, and experimental tumor ablation techniques are discussed. For each topic, all current evidence has been extensively analyzed and summarized into major recommendations for reader consultation in clinical practice (long version).

Published
2016

3. EFSUMB Guidelines on Interventional Ultrasound (INVUS), Part v - EUS-Guided Therapeutic Interventions (short version)

Author

Fusaroli, P, Jenssen, C., Hocke, Martine, Burmester, E, Buscarini, E, Havre, R. F., Ignee, A, Saftoiu, A., Vilmann, P., Nolsoe, C. P., Nürnberg, D, D'Onofrio, M., Gilja, O H, Lorentzen, T., Piscaglia, F., Sidhu, P S, Dietrich, C F, Fusaroli, P, Jenssen, C., Hocke, Martine, Burmester, E, Buscarini, E, Havre, R. F., Ignee, A, Saftoiu, A., Vilmann, P., Nolsoe, C. P., Nürnberg, D, D'Onofrio, M., Gilja, O H, Lorentzen, T., Piscaglia, F., Sidhu, P S, and Dietrich, C F

Abstract

The fifth section of the Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) assesses the evidence for all the categories of endoscopic ultrasound-guided treatment reported to date. Celiac plexus neurolysis and block, vascular intervention, drainage of fluid collections, drainage of biliary and pancreatic ducts, and experimental tumor ablation techniques are discussed. For each topic, all current evidence has been extensively analyzed and summarized into major recommendations for reader consultation (short version; the long version is published online).

Published
2016

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