Colin JOHNSON, Jon IRTWISTLE, Carol DAVIS

Pain in Upper Abdominal Malignancy

Anahtar Kelimeler:

Pain, analgesia, malignancy, abdomen, solid tumor

Pain in Upper Abdominal Malignancy

chemotherapy is the best initial approach, and may produce useful pain relief. However, not all tumors are resectable or respond to chemotherapy, and after treatment, tumor recurrence or progression may be associated with severe unremitting pain. The majority of patients with severe abdominal pain will require treatment with regular opioid medication. Other approaches include addition of adjuvant analgesics to

Keywords:

Pain, analgesia, malignancy, abdomen, solid tumor,

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Fishman B, Pasternak S, Wallenstein SL, Houde RW, Holland JC, Foley KM. The Memorial Pain Assessment Card. A valid instrument for the evaluation of cancer pain. Cancer 1987; 60: 1151-8.
Caraceni A, Cherny N, Fainsinger R, Kaasa S, Poulain P, Radbruch L et al. Pain measurement tools and methods in clinical research in palliative care: recommendations of an Expert Working Group of the European Association of Palliative Care. J Pain Symptom Manage 2002; 23: 239-55.
Hovi SL, Lauri S. Patients' and nurses' assessment of cancer pain. Eur J Cancer Care (Engl) 1999; 8: 213-9.
Drayer RA, Henderson J, Reidenberg M. Barriers to better pain control in hospitalized patients. J Pain Symptom Manage 1999; 17: 434-40.
Expert Working Group of the European Association for Palliative Care. Morphine in cancer pain: modes of administration. BMJ 1996; 312: 823-6.
Eisenberg E, Carr DB, Chalmers TC. Neurolytic celiac plexus block for treatment of cancer pain: a meta-analysis. Anesth Analg 1995; 80: 290-5.
Mercadante S, Nicosia F. Celiac plexus block: a reappraisal. Reg Anesth Pain Med 1998; 23: 37-48.
Lillemoe KD, Cameron JL, Kaufman HS, Yeo CJ, Pitt HA, Sauter PK. Chemical splanchnicectomy in patients with unresectable pancreatic cancer. A prospective randomized trial. Ann Surg 1993; 217: 447-55.
Staats PS, Hekmat H, Sauter P, Lillemoe K. The effects of alcohol celiac plexus block, pain, and mood on longevity in patients with unresectable pancreatic cancer. Pain Med 2001; 2: 28-34.
Okuyama M, Shibata T, Morita T, Kitada M, Tukahara Y, Fukushima Y et al. A comparison of intraoperative celiac plexus block with pharmacological therapy as a treatment for pain of unresectable pancreatic cancer. J Hepatobiliary Pancreat Surg 2002; 9: 372-5.
Saenz A, Kuriansky J, Salvador L, Astudillo E, Cardona V, Shabtai M et al. Thoracoscopic splanchnicectomy for pain control in patients with unresectable carcinoma of the pancreas. Surg Endosc 2000; 14: 717-20.
Sastre B, Carabalona B, Crespy B, Delpero JR, Sielezneff I, Michotey G. Transhiatal bilateral splanchnicotomy for pain control in pancreatic cancer: basic anatomy, surgical technique, and immediate results in fifty-one cases. Surgery 1992; 111: 640-6.
Sharfman WH, Walsh TD. Has the analgesic efficacy of neurolytic celiac plexus block been demonstrated in pancreatic cancer pain? Pain 1990; 41: 267-71.
Wong GY, Schroeder DR, Carns PE, Wilson JL, Martin DP, Kinney MO et al. Effect of neurolytic celiac plexus block on pain relief, quality of life, and survival in patients with unresectable pancreatic cancer: a randomized controlled trial. JAMA 2004; 291: 1092-9.
Davies DD. Incidence of major complications of neurolytic coeliac plexus block. J R Soc Med 1993; 86: 264-6.
Cuschieri A, Shimi SM, Crosthwaite G, Joypaul V. Bilateral endoscopic splanchnicectomy through a posterior thoracoscopic approach.J R Coll Surg Edinb 1994; 39: 44-7.
Le Pimpec BF, Chapuis O, Riquet M, Cuttat JF, Peillon C, Mouroux J et al. Thoracoscopic splanchnicectomy for control of intractable pain in pancreatic cancer. Ann Thorac Surg 1998; 65: 810-3.
Lin CC, Mo LR, Lin YW, Yau MP. Bilateral thoracoscopic lower sympathetic-splanchnicectomy for upper abdominal cancer pain. Eur J Surg Suppl 1994; 572: 59-62.
Melki J, Riviere J, Roullee N, Soury P, Peillon C, Testart J. Thoracic splanchnectomy under video-thoracoscopy. Presse Med 1993; 22: 1095-7.
Worsey J, Ferson PF, Keenan RJ, Julian TB, Landreneau RJ. Thoracoscopic pancreatic denervation for pain control in irresectable pancreatic cancer. Br J Surg 1993; 80: 1051-2.
Ihse I, Zoucas E, Gyllstedt E, Lillo-Gil R, Andren-Sandberg A. Bilateral thoracoscopic splanchnicectomy: effects on pancreatic pain and function. Ann Surg 1999; 230: 785-90.
Pietrabissa A, Vistoli F, Carobbi A, Boggi U, Bisa M, Mosca F. Thoracoscopic splanchnicectomy for pain relief in unresectable pancreatic cancer. Arch Surg 2000; 135: 332-5.