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Neural block therapy for radiation enteritis: a case report.
Moegi Tanaka1, Yoshinori Kamiya2, Hiroki Shimizu3
1Division of Anesthesiology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo ward, Niigata City, 951-8510, Japan. moett@med.niigata-u.ac.jp.
JA Clinical Reports
|February 7, 2020
Summary
Radiation enteritis, a difficult complication of abdominal radiotherapy, can cause severe pain and ileus. Visceral sympathetic nerve blocks offer a promising new treatment option for managing these debilitating symptoms.
Area of Science:
- Gastroenterology
- Oncology
- Pain Management
Background:
- Radiation enteritis is a challenging complication of abdominal radiotherapy.
- It can lead to refractory ulcers, ileus, and a significant decrease in quality of life.
Purpose of the Study:
- To evaluate the efficacy of visceral sympathetic nerve blocks for managing radiation enteritis.
Main Methods:
- A case study of a 58-year-old woman with late-onset radiation enteritis after cervical cancer treatment.
- The patient underwent splanchnic nerve block and inferior mesenteric artery plexus block for symptoms of vomiting, abdominal pain, enterocolitis, and paralytic ileus.
Main Results:
- The visceral sympathetic nerve blocks effectively alleviated the patient's abdominal pain and vomiting.
- Paralytic ileus symptoms also showed improvement following the procedures.
Conclusions:
- Visceral sympathetic nerve block is a potential therapeutic option for intractable radiation enteritis.
- This approach may effectively manage abdominal pain and ileus associated with radiation enteritis.
