A coeliac plexus and splanchnic nerve block offers a minimally invasive solution for individuals suffering from intense abdominal pain due to cancer. This procedure targets the coeliac plexus, a nerve network located behind the stomach, along with the splanchnic nerves that serve the abdomen. By obstructing these nerves, the process interrupts the pain signals transmitted to the brain. Typically guided by fluoroscopy, the doctor carefully inserts a needle into the coeliac plexus and splanchnic nerves using X-ray imaging. A mixture of local anesthetic and/or a neurolytic agent, such as alcohol or phenol, is then injected through the needle. Immediate pain relief is often provided by the anesthetic, while the neurolytic agent works to dismantle the nerve fibers, offering longer-lasting relief.
The procedure is generally well-tolerated, with most patients experiencing significant pain reduction within hours. Temporary side effects, such as nausea, vomiting, or lightheadedness, may occur but tend to dissipate within a few days. Typically performed on an outpatient basis, patients can often return home the same day, though some may require overnight hospital stays for observation. If necessary, the procedure can be repeated multiple times; however, its effectiveness may diminish over time as nerve fibers regenerate. Given its individual suitability, it's crucial to discuss the risks and advantages with your physician before determining if this treatment is suitable for your condition.
Coeliac Plexus and Splanchnic Nerve Block for Cancer Pain: Everything You Need to Know
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