• G Mathon, A d'Alincourt, E Frampas, and F Lerat.
• Service de Radiologie Générale, Hôpital G et R Laënnec, Boulevard J Monod, 44093 Nantes cedex 1.
• J Radiol. 2001 Jan 1;82(1):41-4.

PurposeThe authors report results of a retrospective study evaluating the efficacy of US-guided alcohol ablation of the celiac plexus in 26 patients with chronic cancer-related abdominal pain. They review the interest of this imaging technique for guidance.Patients And MethodsThirty US-guided alcohol ablations were performed in 26 patients. Twenty-two of them had a prancreatic malignancy, 3 had a gastric cancer and 1 had an esophageal cancer.Results72% of patients experienced significant pain relief with at least 50% decrease in morphine requirements for two months. Four patients underwent a second ablation because of persistent pain and 3 of them experienced relief.ConclusionCeliac plexus ablation is considered to be one of the most effective treatments for chronic cancer-related abdominal pain, often used as an adjuvant treatment in the pain management strategy. US guidance is advantageous because it is simple and accurate and enables quick needle placement.

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