Revista de gastroenterología de México
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Rev Gastroenterol Mex · Jan 2008
Endoscopic ultrasound-guided celiac plexus neurolysis in patients with unresectable pancreatic cancer.
The treatment of pain in patients with pancreatic cancer is a difficult topic for the patients and their physicians. There are different treatment modalities with variable results. Celiac plexus neurolysis (CPN) is a technique with good previous results using fluoroscopy, CT guidance and recently, guided by endoscopic ultrasound (EUS). The aim of this study is to report the experience of EUS guided CPN (EUS CPN) for treatment of abdominal pain in patients with unresectable pancreatic cancer. ⋯ The EUS NPC is an efficient and safe method for pain treatment in those patients with inoperable pancreatic cancer.
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Rev Gastroenterol Mex · Jan 2008
Case Reports[Cholecystoenteric fistulae with giant gallstone ileus impaction.].
Gallstone ileus represents 0.06% of gallstone disease cases as a result of cholecystoenteric fistulae. The presentation is that of intestinal obstruction, the stone is most commonly impacted in the terminal ileum. ⋯ Gallstone ileus is a rare condition ofa common disease. It is important in the differential diagnosis in elderly patients with intestinal obstruction. The aim of treatment is to relieve the intestinal obstruction by enterotomy and stone removal.