SciELO - Scientific Electronic Library Online

 
vol.35 número4Validación del score AIMS65 para hemorragia digestiva alta en el Hospital Nacional Cayetano HerediaColangiocarcinoma en tercio medio de la vía biliar principal tratado con cirugía radical en el Hospital Nacional Guillermo Almenara, Lima, Perú índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

  • No hay articulos citadosCitado por SciELO

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Revista de Gastroenterología del Perú

versión impresa ISSN 1022-5129

Resumen

NOBRE MOURA, Renata et al. Endoscopic-ultrasound versus percutaneous-guided celiac plexus block for chronic pancreatitis pain: A systematic review and meta-analysis. Rev. gastroenterol. Perú [online]. 2015, vol.35, n.4, pp.333-341. ISSN 1022-5129.

Background: Abdominal pain is present in the vast majority of patients with chronic pancreatitis, being frequently debilitating. Celiac plexus block (CPB) is an interventional technique that can be considered to provide a temporary pain relief. Objective: To estimate the effectiveness and safeness of endoscopic-ultrasound (EUS) comparing with percutaneous-guided CBP in patients with pancreatic pain. Methods: A systematic review of English and non-English articles using MEDLINE, EMBASE, LILACS and COCHRANE (via BVS). Study selection and data extraction: Only randomized control trials (RCT) comparing the beneficial and harmful effects of EUS and percutaneous-guided celiac plexus block for managing pancreatic pain were included. Data was extracted and analyzed on variables including pain relief and related procedure complications. Results: Two RCT met the inclusion criteria. Both studies assessed the primary outcome (reduction on pain score) and evaluated adverse effects. The drugs injected were the same; nevertheless percutaneous technique was guided by fluoroscopy in one study and by computer tomography (CT) in other. The results showed that the EUS-CPB group was more effective to reduce pain score after 4 weeks after the procedure, with risk of bias to do this affirmation. No statistical difference in pain relief at 1, 8 and 12 weeks and in complications rates. Conclusions: Based on this systematic review and meta-analysis, no statistically significant difference was noted in pain relief and complications for EUS and percutaneous - CPB.

Palabras clave : Pancreatitis, chronic; Pain managemen; Celiac plexu; Endosonography; Meta-analysis.

        · resumen en Español     · texto en Inglés     · Inglés ( pdf )