Vnitr Lek 1992, 38(10):952-958

[Alcohol block of the celiac plexus in severe visceral pain].

J Horák, Z Antos, J Dutka, B Suchý, M Vasícek: Rentgenologické oddĕlení Ustrední vojenské nemocnice, Praha.

Klíčová slova: Aged; Autonomic Nerve Block, adverse effects, ; Celiac Plexus; Ethanol, administration & dosage, ; Female; Humans; Male; Middle Aged; Pain, etiology, ; Pain Management; Pancreatic Neoplasms, complications,

The authors present their own experience with percutaneous alcohol block of the coeliac plexus. Between April 1988 and December 1991 they used it in 22 patients. Except one patient the others suffered from severe pain of abdominal organs associated with carcinoma of the pancreas. The first four operations were made using angiography, the remainder under CT control. During evaluation of results two weeks after the intervention complete regression of pain was recorded in six patients. A partial effect was achieved in 11 patients, and the intervention failed in five patients. The intervention was repeated in four patients. The authors emphasize that the procedure is relatively simple and safe, and if successful, makes it possible to reduce or even eliminate opiates. It improves the quality of the remaining life of the patient.