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Clinical Journal of Gastroenterology
Published in: Clinical Journal of Gastroenterology 5/2017

01-10-2017 | Case Report

A case of pancreatic cancer with severe vomiting treated by endoscopic ultrasound-guided celiac ganglia neurolysis

Authors: Asami Kawai, Masataka Kikuyama, Kohei Enokida, Shinya Kawaguchi, Naofumi Shirane, Shuzo Terada

Published in: Clinical Journal of Gastroenterology | Issue 5/2017

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Abstract

A 50-year-old man with advanced pancreatic cancer was admitted for intractable severe vomiting 5–6 times a day, continuing over a week. He had been treated for advanced pancreatic cancer with chemotherapy for 6 months, and had undergone self-expandable metalic stent placement for obstructive jaundice due to the pancreatic cancer 4 months before admission. No abnormal findings suggesting gastrointestinal obstruction or brain metastasis were revealed on diagnostic imaging. We performed endoscopic ultrasound-guided celiac ganglia neurolysis twice by injecting ethanol into the celiac ganglion. After the treatments, the vomiting disappeared, and his eating habits gradually returned to normal. The patient died 7 months after treatment due to the advanced pancreatic cancer without recurrence of the vomiting.
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Metadata
Title
A case of pancreatic cancer with severe vomiting treated by endoscopic ultrasound-guided celiac ganglia neurolysis
Authors
Asami Kawai
Masataka Kikuyama
Kohei Enokida
Shinya Kawaguchi
Naofumi Shirane
Shuzo Terada
Publication date
01-10-2017
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 5/2017
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-017-0761-0

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