The Korean Journal of Pain

  • 제28권1호
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  • Pages.57-60
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  • 2015
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Spinal Cord Stimulation for Intractable Visceral Pain Due to Sphincter of Oddi Dysfunction

  • Lee, Kang Hun (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Lee, Sang Eun (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Jung, Jae Wook (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital) ;
  • Jeon, Sang Yoon (Department of Anesthesiology and Pain Medicine, Inje University Haeundae Paik Hospital)
  • 투고 : 2014.10.16
  • 심사 : 2014.12.11
  • 발행 : 2015.01.01
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초록

Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to the functional obstruction of the pancreaticobiliary flow. We report a case of spinal cord stimulation (SCS) for chronic abdominal pain due to SOD. The patient had a history of cholecystectomy and had suffered from chronic right upper quadrant abdominal pain. The patient had been diagnosed as having SOD. The patient was treated with opioid analgesics and nerve blocks, including a splanchnic nerve block. However, two years later, the pain became intractable. We implanted percutaneous SCS at the T5-7 level for this patient. Visual analog scale (VAS) scores for pain and the amount of opioid intake decreased. The patient was tracked for more than six months without significant complications. From our clinical case, SCS is an effective and alternative treatment option for SOD. Further studies and long-term follow-up are necessary to understand the effectiveness and the limitations of SCS on SOD.

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참고문헌

  1. Corazziari E, Shaffer EA, Hogan WJ, Sherman S, Toouli J. Functional disorders of the biliary tract and pancreas. Gut 1999; 45 Suppl 2: II48-54.
  2. Bistritz L, Bain VG. Sphincter of Oddi dysfunction: managing the patient with chronic biliary pain. World J Gastroenterol 2006; 12: 3793-802. https://doi.org/10.3748/wjg.v12.i24.3793
  3. Mariani A, Curioni S, Zanello A, Passaretti S, Masci E, Rossi M, et al. Secretin MRCP and endoscopic pancreatic manometry in the evaluation of sphincter of Oddi function: a comparative pilot study in patients with idiopathic recurrent pancreatitis. Gastrointest Endosc 2003; 58: 847-52. https://doi.org/10.1016/S0016-5107(03)02303-4
  4. Vitton V, Ezzedine S, Gonzalez JM, Gasmi M, Grimaud JC, Barthet M. Medical treatment for sphincter of oddi dysfunction: can it replace endoscopic sphincterotomy? World J Gastroenterol 2012; 18: 1610-5. https://doi.org/10.3748/wjg.v18.i14.1610
  5. Bielefeldt K, Gebhart. GF. Chapter 51. Visceral pain: basic mechanisms. In: Wall and melzack's textbook of pain. 6th ed. Edited by McMahon SB, Koltzenburg M, Tracey I, Turk D. Philadelphia, (PA,), Elsevier/Saunders. 2013, pp 703-17.
  6. Scadding JW, Koltzenburg M. Chapter 65. Painful peripheral neutopathies. In: Wall and melzack's textbook of pain. 6th ed. Edited by McMahon SB, Koltzenburg M, Tracey I, Turk D. Philadelphia, (PA,), Elsevier/Saunders. 2013, pp 939-50.
  7. Prager JP. What does the mechanism of spinal cord stimulation tell us about complex regional pain syndrome? Pain Med 2010; 11: 1278-83. https://doi.org/10.1111/j.1526-4637.2010.00915.x
  8. Baranidharan G, Simpson KH, Dhandapani K. Spinal cord stimulation for visceral pain-a novel approach. Neuromodulation 2014; 17: 753-8. https://doi.org/10.1111/ner.12166
  9. Ceballos A, Cabezudo L, Bovaira M, Fenollosa P, Moro B. Spinal cord stimulation: a possible therapeutic alternative for chronic mesenteric ischaemia. Pain 2000; 87: 99-101. https://doi.org/10.1016/S0304-3959(00)00266-9
  10. Deer TR, Raso LJ. Spinal cord stimulation for refractory angina pectoris and peripheral vascular disease. Pain Physician 2006; 9: 347-52.
  11. Kapural L, Cywinski JB, Sparks DA. Spinal cord stimulation for visceral pain from chronic pancreatitis. Neuromodulation 2011; 14: 423-6. https://doi.org/10.1111/j.1525-1403.2011.00381.x
  12. Kapural L, Nagem H, Tlucek H, Sessler DI. Spinal cord stimulation for chronic visceral abdominal pain. Pain Med 2010; 11: 347-55. https://doi.org/10.1111/j.1526-4637.2009.00785.x
  13. Hunter C, Dave N, Diwan S, Deer T. Neuromodulation of pelvic visceral pain: review of the literature and case series of potential novel targets for treatment. Pain Pract 2013; 13: 3-17. https://doi.org/10.1111/j.1533-2500.2012.00558.x
  14. Jeon YH. Spinal cord stimulation in pain management: a review. Korean J Pain 2012; 25: 143-50. https://doi.org/10.3344/kjp.2012.25.3.143

피인용 문헌

  1. Spinal Cauda Equina Stimulation for Alternative Location of Spinal Cord Stimulation in Intractable Phantom Limb Pain Syndrome: A Case Report vol.29, pp.2, 2016, https://doi.org/10.3344/kjp.2016.29.2.123
  2. Invasive treatments for chronic back pain vol.16, pp.3, 2017, https://doi.org/10.1007/s12688-017-0108-4
  3. Spinal Cord Stimulation for Visceral Pain: Present Approaches and Future Strategies vol.21, pp.10, 2020, https://doi.org/10.1093/pm/pnaa108