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

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)
Publication Information
The Korean Journal of Pain / v.18, no.1, 2005 , pp. 74-77 More about this Journal
Abstract
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.
Keywords
celiac plexus block; complication; diarrhea;
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1 Matson JA, Ghia JN, Levy JH: A case report of a potentially fatal complication associated with Ischia's trans aortic method of celiac plexus block. Reg Anesth 1985; 10: 193
2 Cataldo RDO, Potash M: Atropine as a treatment of diarrhea after celiac plexus block. Anesth Analg 1996; 83: 1131-2
3 Ischia S, Ischia A, Polati E, Finco G: Three posterior percutaneous celiac plexus block technique. Anesthesiology 1992; 76: 534-40
4 Raj PR: Practical management of pain. 3td ed. St. Louis, Mosby. 2000, p 904
5 Chan, Vincent WS: Chronic diarrhea: An uncommon side effect of celiac plexus block. Anesth Analg 1996; 82: 205-7
6 Mosdell K, Visconti J: Emerging indications for octreotide therapy, part 1. Ther Update 1994; 51: 1184-92
7 Ischia S, Luzzani A, Ischia A: A new approach to the neurolytic block of the celiac plexus: The transaortic technique. Pain 1983; 16: 333
8 Gafanovich I, Shir Y, Tsvang E, Ben-chetrit E: Chronic diarrheainduced by celiac plexus block? Clinical Gastroenterology 1998; 26: 300-2
9 Teeple E, Ghia IN: Problems with neurolytic blocks for cancer pain in patients receiving narcotics and psychoactive drugs. Reg Anesth 1981; 6: 152
10 The Department of Internal Medicine of Seoul National University: Internal Medicine. Seoul, Korea Medical Book Pulblisher Co. 1998, pp 122-30
11 Mercadante S: Octreotide in the treatment of diarrhea induced by coeliac plexus block. Pain 1995; 61: 345-6
12 The Korean Pain Society: Pain medicine. 2nd ed. Seoul, Koonja Publishing Inc. 2000, p 390