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Long-Term Results of Celiac Ganglia Block: Correlation of Grade of Tumoral Invasion and Pain Relief

Okan Akhan1, Mustafa N. Ozmen, Nuri Basgun, Devrim Akinci, Oguzhan Oguz, Mert Koroglu and Musturay Karcaaltincaba

1 All authors: Department of Radiology, Hacettepe University, Faculty of Medicine, 06100 Sihhiye, Ankara, Turkey.



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Fig. 1. Line drawing shows location of celiac ganglia and needle placed for blockage. IVC = inferior vena cava.

 


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Fig. 2. Axial CT scan of 51-year-old man shows tip of Chiba needle in preaortic space in retroperitoneum between origins of celiac trunk and superior mesenteric artery.

 


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Fig. 3. Axial CT scan of 61-year-old woman was obtained after injection of alcohol and contrast material mixture to check dissemination in celiac ganglia.

 


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Fig. 4. Axial CT scan of 82-year-old man was used as control image at procedure end.

 


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Fig. 5. Axial CT scan of 48-year-old man shows grade I celiac plexus invasion in which fat planes (arrows) are almost completely preserved.

 


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Fig. 6. Axial CT scan of 47-year-old man shows grade II celiac plexus invasion in which most of periaortic fatty tissues are preserved (white arrow) with some invaded areas (< 50%) (black arrow).

 


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Fig. 7. Axial CT scan of 56-year-old man shows grade III celiac plexus invasion in which most of periaortic fatty tissues (> 50%) are invaded.

 


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Fig. 8. Axial CT scan of 67-year-old man shows grade IV celiac plexus invasion in which periaortic fatty tissues are almost completely invaded.

 


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Fig. 9. Bar graph shows subjective pain levels according to celiac plexus invasion grade before and after celiac ganglia block (CGB) for invasion grade II (black bars), invasion grade III (gray bars), and invasion grade IV (white bars).

 


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Fig. 10. Bar graph shows percentages of decrease in analgesic dose in first 2-month period after celiac ganglia block for invasion grade II (black bars), invasion grade III (gray bars), and invasion grade IV (white bars).

 

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