The neurolytic blocks of sympathetic pathways, including celiac @entity616 (CPB) and superior hypogastric @entity616 (SHPB) , have been used for years. The aim of this review was to assess the evidence to support the performance of sympathetic blocks in @entity5 @entity1 with @entity490 . Only comparison studies were included. All data from the eligible trials were analyzed using the GRADE system. Twenty-seven controlled studies were considered. CPB, regardless of the technique used, improved @entity1337 and/or decrease opioid consumption, and decreased opioid-induced adverse effects in comparison with a conventional analgesic treatment. In one study @entity1 treated with superior hypogastric @entity616 (SHPB) had a decrease in @entity158 intensity and a less @entity1286 consumption, while no statistical differences in adverse effects were found. The quality of these studies was generally poor due to several limitations, including sample size calculation, allocation concealment, no intention to treat analysis. However, at least two CPB studies were of good quality. Data regarding the comparison of techniques or other issues were sparse and of poor quality, and evidence could not be analysed. On the basis of existing evidence, CPB has a strong recommendation in @entity1 with @entity788 . There is a weak recommendation for SHPB, that should be based on individual conditions. Data regarding the choice of the technique are sparse and unfit to provide any recommendation.

Sympathetic blocks for visceral XXXX management: A systematic review and EAPC recommendations.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic cancer pain'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal visceral pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine'] @entity616 :: ('MESH:D006327', 'Disease') :: ['plexus block']
@entity5 :: (MESH:D009369,Disease) :: ['cancer pain']
