الفهرس 
Title : Efficacy of cross-sectional imaging guided sympathetic neurolysis in abdominopelvic tumors
ContantsOnly 14 pages are availabe for public view
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Abstract
Aim of the work: To study the efficacy of visceral neurolytic blocks in the abdomen and pelvis in cancer patients when guided by ultrasound/CT as well as compare between both modalities. Patients and methods: 50 patients were selected randomly and prospectively from the pain clinic in NCI suffering from moderate-severe visceral pain (VAS{u2265}4) due to advanced abdominal and pelvic malignancy. Patients were divided into CPB (n=25), SHPB (n=12) and GIB (n=8) groups according to site of pain and further divided into subgroups U/S and CT. Baseline and postprocedure/follow up VAS score, morphine consumption and PGIC were recorded. Complications at anytime during follow up were documented. Results: There was significant (p<0.001) reduction in post procedure VAS scores and morphine consumption after performing CPB and SHPB with satisfactory PGIC. Patients who performed GIB showed no significant change in pain scores or morphine consumption. There was no statistically significant difference between primary and secondary outcomes of U/S and CT groups. There was a low complications rate with no major side effects. Conclsusion: This study shows that CT and U/S guided sympathetic neurolytic blocks significantly reduce abdominal or pelvic cancer pain and analgesic consumption. There was no statistical significance between the primary and secondary outcomes of both imaging modalities or rate of complications. However we recommend the use of CT-scan due to its feasibility, higher accuracy and lower number of trials compared to ultrasonography and its ability to precisely assess spread of contrast