ORIGINAL ARTICLE The Effectiveness of Repeat Celiac

Background: Celiac plexus neurolysis (CPN) is an effective but temporary management tool for pancreatic cancer pain (PCP). Clinical studies have shown the duration of benefit with initial CPN to be approximately 3 months. When pain recurs, CPN may be repeated, but the outcomes for repeat CPN are not well established. The objective of this study is to determine the success rate and duration of relief follow-ing repeat celiac plexus neurolysis (rCPN) for PCP. Methods: Patients who underwent rCPN were identified from a database and their records reviewed. Responses of rCPN were then compared with iCPN for success rates and duration of relief. Success was defined as ‡ 50 % pain relief lasting ‡ 1 month. Results: Overall, there were 24 rCPN performed. Th