{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:43:03Z","timestamp":1786653783841,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Splanchnic nerve block (SPN) with local anesthetic and steroid is used to relieve the pain of chronic pancreatitis. However, it does not provide long-lasting relief. We hypothesize that the use of 70% alcohol will give adequate analgesia for more than months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>The primary objective was to find out the analgesic efficacy of the use of 70% alcohol with SPN. Secondary objectives included the incidence of side effects, analgesic consumption postintervention, quality of life (QOL) assessed via a self-reported quality of life scale, and repeat block during the 1-year follow-up period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>Retrospective analysis of all patients with chronic pancreatitis who received bilateral SPN over the last 4 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials:<\/jats:title>\n                    <jats:p>SPN was performed using the posterior retrocrural approach with the patient in the prone position as described in the literature using a 23 G \u00d7 90 mm spinal needle bilaterally at the level of T12 using C-arm\/fluoroscopy guidance. Data were collected from the procedure book of the pain clinic and medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical Analysis Used:<\/jats:title>\n                    <jats:p>Quantitative data for change in pre- to post-block VAS score was collected using the non-parametric Wilcoxon signed ranks test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The baseline VAS, post-procedure VAS, and VAS at 3 months follow-up was 7.69 \u00b1 1.3,2.44 \u00b1 0.96 and 1.56 \u00b1 1.15. A pairwise comparison of VAS performed between baseline and immediate post-procedure, baseline, and VAS at 3 months was found to be highly significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Fluoroscopy-guided neurolytic SPN with 70% alcohol gives significant pain relief for more than 3 months. It also leads to improvement in 3 months QOL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/sja.sja_86_24","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T02:01:39Z","timestamp":1717466499000},"page":"371-375","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A case series of fluoroscopy-guided neurolytic splanchnic nerve block for chronic pancreatitis pain"],"prefix":"10.4103","volume":"18","author":[{"given":"B","family":"Jyothi","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milon V.","family":"Mitragotri","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmesh A.","family":"Ladhad","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhuri","family":"Kurdi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh D.","family":"Kurugodiyavar","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Karnataka Institute of Medical Sciences, Hubballi, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjivani","family":"Jadhav","sequence":"additional","affiliation":[{"name":"Department of Physiology, KLE JGMMMC Medical College, Hubballi, KLE Academy of Higher Education and Research, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"R2-20260505","doi-asserted-by":"crossref","first-page":"3137","DOI":"10.3748\/wjg.14.3137","article-title":"Pain management in chronic pancreatitis","volume":"14","author":"Gachago","year":"2008","journal-title":"World J Gastroenterol"},{"key":"R3-20260505","first-page":"E60","article-title":"Is there a role for celiac plexus block for chronic pancreatitis? 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Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with The International Association of Pancreatology, American Pancreatic Association, Japan Pancreas Society, PancreasFest Working Group and European Pancreatic Club","volume":"18","author":"Whitcomb","year":"2018","journal-title":"Pancreatology"},{"key":"R10-20260505","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.giec.2018.06.004","article-title":"Celiac plexus block and neurolysis: A review","volume":"28","author":"Sachdev","year":"2018","journal-title":"Gastrointest Endosc Clin N Am"},{"key":"R11-20260505","doi-asserted-by":"crossref","first-page":"115","DOI":"10.2217\/pmt-2018-0056","article-title":"Splanchnic block at T11 provides a longer relief than celiac plexus block from nonmalignant, chronic abdominal pain","volume":"9","author":"Kapural","year":"2019","journal-title":"Pain Manag"},{"key":"R12-20260505","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1136\/pgmj.2003.009761","article-title":"Diagnosis and management of chronic pancreatitis","volume":"81","author":"Gupta","year":"2005","journal-title":"Postgrad Med J"},{"key":"R14-20260505","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/j.1445-2197.2005.03486.x","article-title":"Percutaneous splanchnic nerve radiofrequency ablation for chronic abdominal pain","volume":"75","author":"Garcea","year":"2005","journal-title":"ANZ J Surg"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_86_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:42:10Z","timestamp":1786650130000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_86_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,4]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_86_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,4]]},"assertion":[{"value":"2024-02-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}