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