복강 신경총 차단 후에 발생한 만성설사

A Case of Chronic Diarrhea after Neurolytic Celiac Plexus Block -A case report-

  • 이상일 (인제대학교 의과대학 일산백병원 마취통증의학과) ;
  • 문승기 (인제대학교 의과대학 일산백병원 마취통증의학과) ;
  • 김경태 (인제대학교 의과대학 일산백병원 마취통증의학과) ;
  • 최원주 (인제대학교 의과대학 일산백병원 마취통증의학과) ;
  • 박장수 (인제대학교 의과대학 일산백병원 마취통증의학과) ;
  • 김정원 (인제대학교 의과대학 일산백병원 마취통증의학과)
  • Lee, Sang II (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Moon, Seung Ki (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Kyung Tae (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Choe, Won Joo (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Park, Jang Su (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim, Jung Won (Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, College of Medicine, Inje University)
  • 투고 : 2005.03.28
  • 심사 : 2005.06.02
  • 발행 : 2005.06.30

초록

A neurolytic celiac plexus block produces long-lasting pain relief in upper abdominal cancer patients. Unwanted side effects such as local pain, hypotension, and diarrhea are common but the durations of these side effects are usually transient. Chronic diarrhea induced by a neurolytic celiac plexus block is rarely reported and is considered to be an autonomic neuropathy due to sympathetic denervation. A 73-year-old Klatskin tumor patient developed chronic diarrhea after a neurolytic celiac plexus block and the diarrhea was sustained for 3 months despite the use of conventional antidiarrheal treatments. We report a case of chronic diarrhea that was induced by a neurolytic celiac plexus block.

키워드

참고문헌

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