Celiac Plexus Block for the Management of Intraabdominal Pain.
10.4097/kjae.1984.17.4.366
- Author:
Young Deok CHOE
1
;
Jong Gwan PARK
;
Huhn CHOE
Author Information
1. Department of Anesthesiology, Chonbuk University School of Medicine, Chonju, Korea.
- Publication Type:Case Report
- MeSH:
Analgesia;
Carcinoma, Hepatocellular;
Catheters, Indwelling;
Celiac Plexus*;
Ethanol;
Humans;
Lidocaine;
Morphine;
Pancreatic Neoplasms;
Pancreatitis, Chronic;
Stomach Neoplasms
- From:Korean Journal of Anesthesiology
1984;17(4):366-369
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Celiac plexus block with neurolytic agents is widely recommended for the management of intraabdominal pain due to malignant disease as a simple, asafe and effective method. We performed neurolytic celia: plexus block with 60% ethanol in lidocaine in 8 patients: with gastric cancer(4), hepatoma(2), pancreatic cancer(1), and chronic pancreatitis(1). Good to excellent pain relief was obtained in the 2 hepatoma cases, 1 pancreatic cancer, and a gastric cancer patient. In one patient with gastirc cancer, analgesia lasted for about 3 months but the second block was entirely unsatisfactory. The result was uncertain in one patient with chronic pancreatitis because the pain was non-specific and responded even to saline solution(placebo). In the remaing 2 patients, the result was entirely negative and eventually, epidural morphine was given periodically through an indwelling catheter.
