Coeliac Plexus and Splanchnic Nerve Block for Cancer Pain in Bangalore

Coeliac Plexus and Splanchnic Nerve Block for Cancer Pain

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.

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Coeliac Plexus and Splanchnic Nerve Block for Cancer Pain: Everything You Need to Know

A coeliac plexus and splanchnic nerve block is a minimally invasive procedure that can be used to relieve severe abdominal pain caused by cancer. The coeliac plexus is a network of nerves located behind the stomach, and the splanchnic nerves are a group of nerves that supply the abdomen. By blocking these nerves, the procedure can help to interrupt the pain signals being sent to the brain.

The procedure can be used to treat a variety of types of cancer pain, including pain caused by pancreatic cancer, stomach cancer, liver cancer, and cancer of the colon and rectum.

The procedure is typically considered for patients with severe abdominal pain caused by cancer that is not adequately controlled with other pain medications

The procedure is generally safe, but there are some potential risks, such as bleeding, infection, and nerve damage. The benefits of the procedure include significant pain relief for most patients.

The procedure is typically performed under fluoroscopic guidance, which means that the doctor uses X-rays to guide the placement of a needle into the coeliac plexus and splanchnic nerves. Once the needle is in place, the doctor will inject a local anesthetic and/or a neurolytic agent.. The local anesthetic will provide immediate pain relief, while the neurolytic agent will destroy the nerve fibers, providing longer-term relief.

The duration of pain relief varies from patient to patient. Some patients may experience pain relief for several months, while others may need to have the block repeated more frequently.

Most patients experience significant pain relief within a few hours after the procedure. Some patients may experience temporary side effects, such as nausea, vomiting, or lightheadedness. However, these side effects are usually mild and go away on their own within a few days.

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