Neurolytic celiac plexus block for pancreatic cancer pain: A review of literature

• Main Authors: Sankalp Sehgal, Ahmed Ghaleb
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Pain
• Subjects: Neurolytic celiac plexus block; pancreatic cancer; pain pathways in pancreatic cancer
• Online Access: http://www.indianjpain.org/article.asp?issn=0970-5333;year=2013;volume=27;issue=3;spage=121;epage=131;aulast=Sehgal

The effective management of pancreatic cancer pain continues to be a major challenge for patients and clinicians. Up to 80% of patients with advanced pancreatic cancer present with the symptoms of severe pain. One of the most important goals in their management is achieving the highest quality of life throughout the course of disease with effective palliation of pain. Majority of the current data supports the use Neurolytic celiac plexus block (NCPB) and has been shown to be more effective in reducing pain compared with standard pharmacotherapy. NCPBs have led to decreased opioid requirements and related side effects, thus preventing deterioration in quality of life. In this article, we discuss the treatment of pancreatic cancer pain and the advances in techniques of performing NCPB. We also analyzed the incidence of complications and the quality of pain relief with the use of NCPB. NCPB is effective, has a low incidence of complications, and should be used more often in patients with pancreatic cancer pain.