POSTER ABSTRACTS: THERAPEUTIC: P-THER-03: Evaluation of a novel, easily reproducible, hybrid model (mumbai endoscopic ultrasound ii) for teaching and training endoscopic ultrasound-guided biliary drainage and rendezvous procedure
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چکیده
S26 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 P-THER-01 Endoscopic ultrasound-guided celiac plexus neurolysis for pain relief in carcinoma gallbladder Praveer Rai, C. R. Lokesh SGPGI, Lucknow, Uttar Pradesh, India Background and Objectives: About 80% of patients with gallbladder cancer present with pain. Unlike cancer pancreas, endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) for pain relief has not been studied in gallbladder cancer. We studied the effect of EUS-CPN in gallbladder cancer and whether it has any effect on decreasing analgesic dose requirement. Methods: Patients with unresectable gallbladder with pain severity = 3 on visual analog scale (VAS) in spite of nonsteroidal anti-inflammatory drugs and/ or weak opioids underwent EUS-CPN over 1-year period. They were followed prospectively for 8 weeks; pain severity and analgesic dose requirement were assessed at baseline and weeks 2, 4, and 8. Response was defined as complete, partial, and no response if pain severity on VAS was 0, decreased by = 3, and decreased by <3, respectively, as compared to baseline. Results: CPN was successfully done in 19 out of 21 included in the study. Median pain severity on VAS was 7, 2, 4, and 5 at baseline and weeks 2, 4, and 8. At week 2, 3 (15.8%), 15 (79%), and 1 (5.2%) had complete, partial, and no response, respectively; at week 4, none, 12 (63.2%), and 7 (36.8%) had complete, partial, and no response, respectively; and at week 8, none, 11 (58%), and 8 (42%) had complete, partial, and no response, respectively. Median number of paracetamol + tramadol tablets/day in gallbladder cancer was reduced to 2, 2, and 3 tablets/day on week 2, 4, and 8, respectively, from baseline three tablets/day (P = 0.016). None had any procedure-related adverse events. Conclusion: EUS-CPN provides short-term partial pain relief in about 60-70% of patients. DOI: 10.4103/2303-9027.212273
منابع مشابه
Evaluation of a novel, hybrid model (Mumbai EUS II) for stepwise teaching and training in EUS-guided biliary drainage and rendezvous procedures
Background and aims EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validat...
متن کاملP-THER-23: Maneuver of rendezvous and drainage of biliary track obstructed by papillary tumor
S33 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Cosmas Rinaldi Lesmana Medistra Hospital, Jakarta, Indonesia Background and Objectives: Endoscopic retrograde cholangiopancreatography (ERCP) is still the most preferred method in Indonesia for patients with malignant obstructive jaundice. The role of therapeutic intervention endoscopic ultrasound (EUS) is still debatable regardi...
متن کاملPOSTER ABSTRACTS: THERAPEUTIC: P-THER-02: A realistic, simple, inexpensive endoscopic ultrasound-guided biliary drainage training model using three-dimensional printing bile duct and mixed gelatin material
S26 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 P-THER-01 Endoscopic ultrasound-guided celiac plexus neurolysis for pain relief in carcinoma gallbladder Praveer Rai, C. R. Lokesh SGPGI, Lucknow, Uttar Pradesh, India Background and Objectives: About 80% of patients with gallbladder cancer present with pain. Unlike cancer pancreas, endoscopic ultrasound-guided celiac plexus neur...
متن کاملEndoscopic ultrasound-guided biliary drainage: a review
Endoscopic retrograde cholangiography (ERCP) is widely used as a first-line therapy for biliary drainage. ERCP occasionally fails owing to anatomical or technical problems, despite high reported success rates. Endoscopic ultrasound-guided biliary drainage (EUS-BD) has recently emerged as an effective alternative biliary drainage method after unsuccessful ERCP. EUS-BD can be essentially divided ...
متن کاملP-THER-22: Therapeutic intervention endoscopic ultrasound in a patient with malignant biliary obstruction post-billroth ii operation
S33 ENDOSCOPIC ULTRASOUND / VOLUME 6 / SUPPLEMENT 1 / AUGUST 2017 Cosmas Rinaldi Lesmana Medistra Hospital, Jakarta, Indonesia Background and Objectives: Endoscopic retrograde cholangiopancreatography (ERCP) is still the most preferred method in Indonesia for patients with malignant obstructive jaundice. The role of therapeutic intervention endoscopic ultrasound (EUS) is still debatable regardi...
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عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2017