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Celiac Plexus Block and Neurolysis

Celiac Plexus Block

Reasons to perform the procedure:

The celiac plexus is a group of nerves that supply organs in the abdomen.  A celiac plexus block may be performed if you are experiencing severe chronic abdominal pain or abdominal pain from cancer.

Before the procedure:

You will be informed where and when to report for the procedure.  You will be asked not to eat or drink after midnight the night before.  You will be examined by your doctor and asked to rate your pain.  You will be asked to not take your long acting pain medication the morning of the procedure, but you can take you short acting medication.

Description of the Procedure:

Your consent will be obtained, and an intravenous (IV) catheter will be placed in your arm.  The nurse will give you IV fluid before your procedure.You will lie on your stomach for the procedure.  Your back will be cleaned with antiseptic ad numbed with medication.  Under x-ray guidance or CT scan, needles will be inserted through the skin and local anesthetic (numbing medication) will be injected to block the celiac plexus.

After the Procedure:

You will be asked to rate your pain.  You will go to the recovery room to be monitored.  Your IV will be discontinued, and you will be discharged home.

Potential Complications:

  • Bleeding
  • Diarrhea
  • Infection
  • Pain during the procedure
  • Failure to relieve the pain
  • Collapsed lung
  • Bloody urine
  • Low blood pressure
  • Paralysis (rare)
  • Low blood pressure

Follow-up:

You will be given a pain diary to help you keep track of your pain.  You will receive further instructions from your doctor.

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