Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 20: A 78-Year-Old Woman With Pancreatic Cancer And Severe Pain Is Referred To You For Evaluation. What Is The Role Of Celiac Plexus Neurolysis To Control Pain In These Patients? (continued)

Nikhil Banerjee, MD; Douglas G. Adler, MD, FACG, AGAF, FASGE

Pancreatic cancer is a commonly encountered gastrointestinal malignancy and is the fourth leading cause of cancer deaths in the United States annually. Pancreatic cancer typically affects patients 60 to 70 years old and presents with typical symptoms of epigastric abdominal pain, jaundice, and weight loss. Patients with pancreatic cancer often have a poor prognosis primarily because most present with advanced disease, thus ruling out potentially curative treatments such as surgery. In many patients, pain associated with pancreatic cancer is a major focus of disease management. Pancreatic…