Recently, celiac plexus nerve block using endoscopic guided puncture has been reported. We performed this technique for a patient who had the pain uncontrolled by Morphine. After this procedure, pain relief and reduction in narcotic use was obtained in this case. In this technique, it is possible to observe the entire procedure in real time. And anterior approach to celiac plexus can make less risk of neurologic complication. Additionally, close proximity of the instrument from gastric lumen allows precise needle placement and avoidance of the organs. Furthermore, this procedure can be quickly performed. EUS CPN is safer and easier technique and should be performed in earlier stage, and more often in malignant cases. And we may try to extend its application to pain control in benign disease and during endoscopic intervention.
