Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis

Joseph Leung, M. Bowen Wright, W. Aveling, P. J. Shorvon, P. B. Cotton

Research output: Contribution to journalArticle

132 Citations (Scopus)

Abstract

We have performed coeliac plexus block by standard percutaneous technique for disabling pain in 36 patients (13 with cancer and 23 with chronic pancreatitis). Eleven of the 13 cancer patients had complete pain relief initially and 7 remained pain free at the time of death. By contrast, only 12 of the 23 patients with pancreatitis had complete pain relief, 6 had partial relief and there was no effect in 5. The mean pain-free period in the chronic pancreatitis patients was only 2 months, and the longest 4 months. Benefit was least in patients with previous pancreatic surgery and repeat blocks were unhelpful. Transient postural hypotension occurred in most patients; two had nerve root pain and one developed persistent weakness and anaesthesia of the left leg, with bladder disturbance. These results warrant the continuing use of coeliac plexus block in pancreatic cancer, but rarely in chronic pancreatitis.

Original languageEnglish (US)
Pages (from-to)730-732
Number of pages3
JournalBritish Journal of Surgery
Volume70
Issue number12
StatePublished - 1983
Externally publishedYes

Fingerprint

Celiac Plexus
Chronic Pancreatitis
Pancreatic Neoplasms
Pain
Orthostatic Hypotension
Neuralgia
Reoperation
Pancreatitis
Neoplasms
Leg
Urinary Bladder
Anesthesia

ASJC Scopus subject areas

  • Surgery

Cite this

Leung, J., Bowen Wright, M., Aveling, W., Shorvon, P. J., & Cotton, P. B. (1983). Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. British Journal of Surgery, 70(12), 730-732.

Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. / Leung, Joseph; Bowen Wright, M.; Aveling, W.; Shorvon, P. J.; Cotton, P. B.

In: British Journal of Surgery, Vol. 70, No. 12, 1983, p. 730-732.

Research output: Contribution to journalArticle

Leung, J, Bowen Wright, M, Aveling, W, Shorvon, PJ & Cotton, PB 1983, 'Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis', British Journal of Surgery, vol. 70, no. 12, pp. 730-732.
Leung J, Bowen Wright M, Aveling W, Shorvon PJ, Cotton PB. Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. British Journal of Surgery. 1983;70(12):730-732.
Leung, Joseph ; Bowen Wright, M. ; Aveling, W. ; Shorvon, P. J. ; Cotton, P. B. / Coeliac plexus block for pain in pancreatic cancer and chronic pancreatitis. In: British Journal of Surgery. 1983 ; Vol. 70, No. 12. pp. 730-732.
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