Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis

Jonathan M. Wyse, Robert Battat, Siyu Sun, Adrian Saftoiu, Ali A. Siddiqui, Ang Tiing Leong, Brenda Lucia Arturo Arias, Carlo Fabbri, Douglas G. Adler, Erwin Santo, Evangelos Kalaitzakis, Everson Artifon, Girish Mishra, Hussein Hassan Okasha, Jan Werner Poley, Jintao Guo, Juan J. Vila, Linda S. Lee, Malay Sharma, Manoop S. BhutaniMarc Giovannini, Masayuki Kitano, Mohamad Ali Eloubeidi, Mouen A. Khashab, Nam Q. Nguyen, Payal Saxena, Peter Vilmann, Pietro Fusaroli, Pramod Kumar Garg, Sammy Ho, Shuntaro Mukai, Silvia Carrara, Subbaramiah Sridhar, Sundeep Lakhtakia, Surinder S. Rana, Vinay Dhir, Anand V. Sahai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Results: Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. Conclusions: EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

Original languageEnglish (US)
Pages (from-to)369-375
Number of pages7
JournalEndoscopic Ultrasound
Volume6
Issue number6
DOIs
StatePublished - Nov 1 2017

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Celiac Plexus
Practice Guidelines
Guidelines
Pancreatic Neoplasms
Safety

Keywords

  • Celiac plexus neurolysis
  • Endoscopic ultrasound
  • Guideline
  • Pancreatic cancer

ASJC Scopus subject areas

  • Hepatology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

Cite this

Wyse, J. M., Battat, R., Sun, S., Saftoiu, A., Siddiqui, A. A., Leong, A. T., ... Sahai, A. V. (2017). Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis. Endoscopic Ultrasound, 6(6), 369-375. https://doi.org/10.4103/eus.eus_97_17

Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis. / Wyse, Jonathan M.; Battat, Robert; Sun, Siyu; Saftoiu, Adrian; Siddiqui, Ali A.; Leong, Ang Tiing; Arias, Brenda Lucia Arturo; Fabbri, Carlo; Adler, Douglas G.; Santo, Erwin; Kalaitzakis, Evangelos; Artifon, Everson; Mishra, Girish; Okasha, Hussein Hassan; Poley, Jan Werner; Guo, Jintao; Vila, Juan J.; Lee, Linda S.; Sharma, Malay; Bhutani, Manoop S.; Giovannini, Marc; Kitano, Masayuki; Eloubeidi, Mohamad Ali; Khashab, Mouen A.; Nguyen, Nam Q.; Saxena, Payal; Vilmann, Peter; Fusaroli, Pietro; Garg, Pramod Kumar; Ho, Sammy; Mukai, Shuntaro; Carrara, Silvia; Sridhar, Subbaramiah; Lakhtakia, Sundeep; Rana, Surinder S.; Dhir, Vinay; Sahai, Anand V.

In: Endoscopic Ultrasound, Vol. 6, No. 6, 01.11.2017, p. 369-375.

Research output: Contribution to journalArticle

Wyse, JM, Battat, R, Sun, S, Saftoiu, A, Siddiqui, AA, Leong, AT, Arias, BLA, Fabbri, C, Adler, DG, Santo, E, Kalaitzakis, E, Artifon, E, Mishra, G, Okasha, HH, Poley, JW, Guo, J, Vila, JJ, Lee, LS, Sharma, M, Bhutani, MS, Giovannini, M, Kitano, M, Eloubeidi, MA, Khashab, MA, Nguyen, NQ, Saxena, P, Vilmann, P, Fusaroli, P, Garg, PK, Ho, S, Mukai, S, Carrara, S, Sridhar, S, Lakhtakia, S, Rana, SS, Dhir, V & Sahai, AV 2017, 'Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis', Endoscopic Ultrasound, vol. 6, no. 6, pp. 369-375. https://doi.org/10.4103/eus.eus_97_17
Wyse JM, Battat R, Sun S, Saftoiu A, Siddiqui AA, Leong AT et al. Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis. Endoscopic Ultrasound. 2017 Nov 1;6(6):369-375. https://doi.org/10.4103/eus.eus_97_17
Wyse, Jonathan M. ; Battat, Robert ; Sun, Siyu ; Saftoiu, Adrian ; Siddiqui, Ali A. ; Leong, Ang Tiing ; Arias, Brenda Lucia Arturo ; Fabbri, Carlo ; Adler, Douglas G. ; Santo, Erwin ; Kalaitzakis, Evangelos ; Artifon, Everson ; Mishra, Girish ; Okasha, Hussein Hassan ; Poley, Jan Werner ; Guo, Jintao ; Vila, Juan J. ; Lee, Linda S. ; Sharma, Malay ; Bhutani, Manoop S. ; Giovannini, Marc ; Kitano, Masayuki ; Eloubeidi, Mohamad Ali ; Khashab, Mouen A. ; Nguyen, Nam Q. ; Saxena, Payal ; Vilmann, Peter ; Fusaroli, Pietro ; Garg, Pramod Kumar ; Ho, Sammy ; Mukai, Shuntaro ; Carrara, Silvia ; Sridhar, Subbaramiah ; Lakhtakia, Sundeep ; Rana, Surinder S. ; Dhir, Vinay ; Sahai, Anand V. / Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis. In: Endoscopic Ultrasound. 2017 ; Vol. 6, No. 6. pp. 369-375.
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abstract = "Objectives: The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80{\%} voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Results: Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4{\%} agreement was reached on the remaining one. Conclusions: EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.",
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AU - Battat, Robert

AU - Sun, Siyu

AU - Saftoiu, Adrian

AU - Siddiqui, Ali A.

AU - Leong, Ang Tiing

AU - Arias, Brenda Lucia Arturo

AU - Fabbri, Carlo

AU - Adler, Douglas G.

AU - Santo, Erwin

AU - Kalaitzakis, Evangelos

AU - Artifon, Everson

AU - Mishra, Girish

AU - Okasha, Hussein Hassan

AU - Poley, Jan Werner

AU - Guo, Jintao

AU - Vila, Juan J.

AU - Lee, Linda S.

AU - Sharma, Malay

AU - Bhutani, Manoop S.

AU - Giovannini, Marc

AU - Kitano, Masayuki

AU - Eloubeidi, Mohamad Ali

AU - Khashab, Mouen A.

AU - Nguyen, Nam Q.

AU - Saxena, Payal

AU - Vilmann, Peter

AU - Fusaroli, Pietro

AU - Garg, Pramod Kumar

AU - Ho, Sammy

AU - Mukai, Shuntaro

AU - Carrara, Silvia

AU - Sridhar, Subbaramiah

AU - Lakhtakia, Sundeep

AU - Rana, Surinder S.

AU - Dhir, Vinay

AU - Sahai, Anand V.

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N2 - Objectives: The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following a detailed literature review, 6 statements were proposed attempting to answer those questions. A group of expert endosonographers convened in Chicago, United States (May 2016), where the statements were presented and feedback provided. Subsequently a consensus group of 35 expert endosonographers voted based on their individual level of agreement. A strong recommendation required 80% voter agreement. The modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria were used to rate the strength of recommendations and the quality of evidence. Results: Eighty percent agreement was reached on 5 of 6 consensus statements, 79.4% agreement was reached on the remaining one. Conclusions: EUS-CPN is efficacious, should be integrated into the management of pancreas cancer pain, and can be considered early at the time of diagnosis of inoperable disease. Techniques may still vary based on operator experience. Serious complications exist, but are rare.

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