Transdiscal vs Paravertebral Neurolytic Splanchnic Nerve Block for Upper Abdominal Cancer Pain

ConditionCancer Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorAnkara Etlik City Hospital

About this trial

This study aims to compare the efficacy of fluoroscopy-guided paravertebral (PV) and transdiscal (TD) approaches for splanchnic nerve neurolysis in patients with upper abdominal cancer-related pain (e.g., gastric, pancreatic, and hepatic malignancies). Treatment response will be assessed using the Numerical Rating Scale (NRS), and the impact of both techniques on quality of life will be evaluated with the EORTC QLQ-C30 questionnaire.

Eligibility criteria

Qualifiers

Severe abdominal pain (NRS > 6) due to upper intra-abdominal organ malignancies (such as gastric, pancreatic, or hepatic cancer).

Failure of pain control with conservative treatment modalities.

Disqualifiers

Presence of local anatomical variations

Localized or systemic infection involving the procedural site

Pregnancy

Coagulopathy

Trial design

Treatments tested in this trial

  • transdiscal splanchnic neurolysis
  • paravertebral splanchnic neurolysis

Treatment groups

56 Participants
are divided into 2 treatment groups

Sponsors and collaborators