PANKREAS KANSERİ TANILI HASTALARDA ENDOSKOPİK ULTRASON EŞLİĞİNDE ÇÖLYAK NÖROLİZ AĞRI TEDAVİSİ İÇİN KULLANILAN ALKOL VE FENOLÜN ETKİLERİNİN KARŞILATIRILMASI: RETROSPEKTİF ANALİZ

Amaç: Çalışmada amacımız EUS rehberliğinde uygulanan çölyak pleksus nöroliz işleminde kullanılan etanol ve fenolün ağrı skorları ve komplikasyonlar üzerine etkinliklerini karşılaştırmaktır. Gereç Yöntem: Ocak 2009 ve Haziran 2022 tarihleri arasında endoskopi biriminde sedasyon altında EUS (endoskopik ultrasonografi) rehberliğinde çöliyak nöroliz uygulanan 28 hasta dahil edildi. Pankreas kanseri tanılı hastaların ağrı tedavisi için uygulanan EUS rehberliğinde çölyak nöroliz girişiminin verilerini retrospektif olarak inceledik Bulgular: Alkol grubundaki hastaların ağrı skorları daha düşük saptanmıştır. Sonuç: Alkol ve fenol bazlı nörolitik teknikler karşılaştırıldığında alkol grubunda daha iyi analjezik etki elde edilmiştir

Anahtar Kelimeler:

alkol, çölyak nöroliz, endoskopik ultrason, fenol

Comparison of the Effects of Alcohol and Phenol Used for Celiac Neurolysis with Endoscopic Ultrasound in Patients with Pancreas Cancer: Retrospective Analysis

Objective: In this study we aimed to compare the efficacy of ethanol and phenol used in the EUS-guided celiac plexus neurolysis procedure on pain scores and complications. Material and Methods: Between January 2009 and June 2022, 28 patients who underwent celiac neurolysis underwent sedation via EUS (endoscopic ultrasonography) guidance in the endoscopy unit were included. We retrospectively analyzed the data of the EUS-guided celiac neurolysis procedures for pain management of patients with pancreatic cancer. Results: Patients in the alcohol group had lower pain scores. Conclusion: When alcohol and phenol-based neurolytic techniques were compared, better analgesic effect was obtained in the alcohol group.

Keywords:

alcohol, celiac neurolysis, endoscopic ultrasound, phenol,

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