How are EUS guided CPB and neurolysis performed?
- The celiac trunk is easily identified with EUS, because it is located in close proximity to the posterior gastric wall.
- Because of its close proximity EUS-FNI is easily performed.
- A 22-gauge needle is advanced into the area and bupivacaine (an anesthetic) is injected to reduce discomfort.
- Next, alcohol (for pancreatic cancer) or steroids (for chronic pancreatitis) is injected to the plexus
