Literature DB >> 28815450

A case of pancreatic cancer with severe vomiting treated by endoscopic ultrasound-guided celiac ganglia neurolysis.

Asami Kawai1, Masataka Kikuyama2, Kohei Enokida1, Shinya Kawaguchi1, Naofumi Shirane1, Shuzo Terada1.   

Abstract

A 50-year-old man with advanced pancreatic cancer was admitted for intractable severe vomiting 5-6 times a day, continuing over a week. He had been treated for advanced pancreatic cancer with chemotherapy for 6 months, and had undergone self-expandable metalic stent placement for obstructive jaundice due to the pancreatic cancer 4 months before admission. No abnormal findings suggesting gastrointestinal obstruction or brain metastasis were revealed on diagnostic imaging. We performed endoscopic ultrasound-guided celiac ganglia neurolysis twice by injecting ethanol into the celiac ganglion. After the treatments, the vomiting disappeared, and his eating habits gradually returned to normal. The patient died 7 months after treatment due to the advanced pancreatic cancer without recurrence of the vomiting.

Entities:  

Keywords:  Brain metastasis; Celiac ganglion; EUS-CGN; Ethanol; Gastrointestinal obstruction

Mesh：

Substances：

Year:  2017        PMID： 28815450     DOI： 10.1007/s12328-017-0761-0

Source DB:  PubMed          Journal:  Clin J Gastroenterol        ISSN： 1865-7265


  28 in total

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