Endoscopic Ultrasound-Guided Celiac Plexus Interventions

Fatal complication after endoscopic ultrasound-guided celiac plexus neurolysis.

A 57-year-old woman with a diagnosis of idiopathic recurrent pancreatitis and progressive epigastric pain radiating to her back was admitted to the hospital. Abdominal computed tomography (CT) showed a suspicious 3-cm pancreatic head mass involving the superior mesenteric artery (SMA) and vein. Endoscopic ultrasound (EUS) showed the suspicious pancreatic head mass with bile duct and main pancre...

Cladosporium macrocarpum brain abscess after endoscopic ultrasound-guided celiac plexus block.

hour history of holocranial headache and right-side deviation of the oral commissure. He denied fever and other neurological symptoms. He had undergone endoscopic ultrasound (EUS)-guided celiac plexus neurolysis (CPN) 3 weeks before for the management of refractary epigastric pain caused by alcoholic chronic pancreatitis. On physical examination, cachexia (due to exocrinepancreatic insufficienc...

Effectiveness and safety of serial endoscopic ultrasound–guided celiac plexus block for chronic pancreatitis

BACKGROUND AND STUDY AIMS Endoscopic ultrasound - guided celiac plexus block (EUS-CPB) is an established treatment for pain in patients with chronic pancreatitis (CP), but the effectiveness and safety of repeated procedures are unknown. Our objective is to report our experience of repeated EUS-CPB procedures within a single patient. PATIENTS AND METHODS A prospectively maintained EUS database...

End-organ ischemia as an unforeseen complication of endoscopic-ultrasound-guided celiac plexus neurolysis.

Pearls & oy-sters: Acute spinal cord infarction following endoscopic ultrasound-guided celiac plexus neurolysis.

• Celiac plexus neurolysis (CPN)/celiac plexus block (CPB) is used to treat excruciating cancerrelated abdominal pain.1 • CPN is done via injecting 50%–100% alcohol into the celiac plexus, which is located under the diaphragm at the level of T12-L1 adjacent to the abdominal aorta and the take-off of the celiac trunk.2 • Endoscopic ultrasound guided neurolysis (EUS CPN) has been found to have 85...