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Canadian Journal of Anaesthesia

, Volume 40, Issue 10, pp 954–963 | Cite as

Coeliac plexus block for chronic pain syndromes

  • François Fugère
  • Geraint Lewis
Review Article

Abstract

The purpose of this article is to familiarize the anaesthetist with the basic anatomy of the coeliac plexus; the techniques used to perform the procedure, its indications, complications and results in the management of chronic abdominal pain syndromes. Radiological, surgical and anaesthetic literature from the beginning of the century were reviewed. The main indication for neurolytic coeliac plexus block is intractable pain secondary to carcinoma of the pancreas or stomach. There appear to be theoretical advantages to techniques that result in spread of solution anterior to the aorta, such as the trans-aortic approach. These have not yet been demonstrated in any studies with large numbers of patients.

Key words

anatomy: coeliac plexus anaesthetic techniques: regional coeliac plexus block cancer pain: chronic 

Résumé

Le propos de cet article est de familiariser l’anesthésiste à l’anatomie de base du plexus coeliaque, aux techniques de réalisation du bloc, ses indications, ses complications et ses résultats dans la prise en charge des syndromes de douleurs abdominales chroniques. On revoit la littérature radiologique, chirurgicale et anesthésique à partir du début du siècle. La principale indication du bloc neurolytique du plexus coeliaque est la douleur refractaire due au carcinome du pancréas ou de l’estomac. Il y aurait des avantages théoriques aux techniques qui consistent à diffuser la solution en avant de l’aorte, comme l’approche trans- aortique. Aucune étude comprenant un grand nombre de patients n’a encore démontré ces avantages.

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Copyright information

© Canadian Anesthesiologists 1993

Authors and Affiliations

  • François Fugère
    • 1
  • Geraint Lewis
    • 1
  1. 1.Department of Anaesthesia, Main division, Ottawa Civic HospitalOttawa UniversityOttawa

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