Neurolysis of the sympathetic axis for cancer pain management - 17/08/11
Address reprint requests and correspondence: Oscar A. de Leon-Casasola, MD, Roswell Park Cancer Institute, Elm and Carlton Street, Buffalo, NY 14263.Résumé |
Neurolytic blocks of sympathetic axis was a procedure that was widely used in the past for the control of upper abdominal pain or pelvic pain in patients with cancer. However, new studies suggest that these blocks are not effective in treating pain that is not visceral in origin. Consequently, when there is evidence of disease outside of the viscera, such as patients with lymphadenopathy, the success rate decreases significantly. Moreover, a controlled randomized study has shown that, even in the best-case scenario, the length of full pain control is no more than 2 months. Thus, we should re-consider our indications for these procedures, and when indicated, they should be performed early in the course of the disease.
Le texte complet de cet article est disponible en PDF.Keywords : Neurolytic techniques, Cancer pain, Celiac plexus block, Superior hypogastric plexus block, Ganglion impar block
Plan
Vol 9 - N° 3
P. 161-166 - juillet 2005 Retour au numéro
Article précédent
- Neuraxial infusions
- Phillip C. Phan, Madhuri Are, Allen W. Burton
- Surgical procedures for intractable cancer pain
- Ryan D. Loyd, Perry A. Ball, Gilbert J. Fanciullo
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?