Sympathetic Blocks: Celiac Plexus Nerve Block and Neurolysis

Priscilla Agbenyefia, Russell Stuart, Grace Chen

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Celiac Plexus blocks and neurolysis have been used for almost a century to address intractable abdominal pain most commonly associated with cancer (Kambadakone et al., RadioGraphics 31:1599–1621, 2011). A survey of pain relief from celiac plexus neurolysis for cancer pain revealed about 70–90% effective rate for good to excellent pain relief beyond 3 months until death. Celiac Plexus block is commonly used as a diagnostic procedure for pain mediated by the celiac plexus for chronic abdominal pain (Urits et al., Curr Pain Headache Rep 24:42, 2020). Celiac Plexus neurolysis is performed using alcohol or phenol for longer lasting pain relief, if the diagnostic block provided significant analgesia.

Original languageEnglish (US)
Title of host publicationAnesthesiology In-Training Exam Review
Subtitle of host publicationRegional Anesthesia and Chronic Pain
PublisherSpringer International Publishing
Pages279-284
Number of pages6
ISBN (Electronic)9783030872663
ISBN (Print)9783030872656
DOIs
StatePublished - Jan 1 2022

Keywords

  • Alcohol neurolysis
  • Cancer pain
  • Celiac plexus
  • Phenol neurolysis
  • Splanchnic nerves

ASJC Scopus subject areas

  • General Medicine

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