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Coeliac plexus block for chronic pain syndromes
Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|October 1, 1993
Summary
This review covers coeliac plexus block for chronic abdominal pain, focusing on anatomy, techniques, and indications, particularly for pancreatic and stomach cancer pain management.
Area of Science:
- Anesthesiology
- Pain Management
- Gastroenterology
Background:
- Chronic abdominal pain, especially from pancreatic or stomach cancer, presents significant management challenges.
- The coeliac plexus is a key target for interventional pain management strategies.
Purpose of the Study:
- To provide anesthesiologists with a comprehensive overview of coeliac plexus block.
- To detail the anatomy, procedural techniques, indications, complications, and outcomes of coeliac plexus block.
Main Methods:
- A review of radiological, surgical, and anesthetic literature from the early 20th century onwards.
- Analysis of techniques, indications, complications, and results for chronic abdominal pain management.
Main Results:
- Neurolytic coeliac plexus block is primarily indicated for intractable pain from pancreatic and stomach carcinoma.
- Trans-aortic approaches may offer theoretical advantages for solution spread, but require further large-scale validation.
Conclusions:
- Coeliac plexus block is a vital procedure for specific chronic abdominal pain syndromes.
- Further research is needed to confirm the benefits of novel techniques in large patient cohorts.