000 02719cam a2200349 a 4500
003 EG-GiCUC
005 20250223032913.0
008 220117s2021 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.19.01.Ph.D.2021.Ah.U
100 0 _aAhmed Mohammed Hassan Hussein
245 1 0 _aUltrasound versus fluoroscopic - guided celiac plexus neurolysis in management of upper abdominal malignant pain :
_bA pilot study /
_cAhmed Mohammed Hassan Hussein ; Supervised Khaled Ali Awad Elsamahy , Emad Gerges Saleh , Wael Ahmed Ibrahim
246 1 5 _aتدمير العقدة العصبية الباطنية بمساعدة جهاز الموجات فوق الصوتية مقارنة بجهاز الأشعة السينية فى علاج آلام الأورام المنبثقة من أحشاء أعلى البطن
260 _aCairo :
_bAhmed Mohammed Hassan Hussein ,
_c2021
300 _a98 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - National Cancer Institute - Department of Anesthesia and Pain Relief
520 _aIntractable pain occurs frequently in patients with advanced cancers originating from upper abdominal viscera such as pancreas, stomach, duodenum, proximal small bowel, liver and biliary tract as well as from compressing metastatic enlarged celiac lymph nodes.Non-narcotic medical therapies are often inadequate, and opioids commonly induce nausea, vomiting, constipation and other side effects. Non-pharmacological therapies are commonly administered with the aim of improving pain control and quality of life, while reducing the risk of drug-induced side effects. Such therapies include celiac plexus neurolysis (CPN).CPN refers to the ablation of the plexus (chemical splanchnicectomy which ablates the afferent nerve fibers that transmit pain from intra-abdominal viscera), and is often achieved with alcohol. (Akinci et al., 2005).Percutaneous CPN can be performed with high success and low complication rates under imaging guidance such as fluoroscopy, angiography, magnetic resonance imaging (MRI), ultrasound (US) and computed tomography (CT) in an attempt to locate the exact level of the celiac artery origin (Akinci et al., 2005)1Nazla
530 _aIssued also as CD
653 4 _aAbdominal malignant pain
653 4 _aFluoroscopic
653 4 _aUltrasound
700 0 _aEmad Gerges Saleh ,
_eSupervisor
700 0 _aKhaled Ali Awad Elsamahy ,
_eSupervisor
700 0 _aWael Ahmed Ibrahim ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c83982
_d83982