Abstract

Neural blockade at the celiac plexus is less specific compared with splanchnic nerve block. This retrospective study compares duration and potency of celiac versus splanchnic block.Patients & methods: Analyzed were data of 16 consecutive patients with visceral abdominal nonmalignant pain treated using both celiac plexus and T11 splanchnic block. Improvement in pain scores was from 7.24±1.0 to 4.1±2.1 for celiac, and 7.8±0.8 to 2.9±2.1 for splanchnic at 4weeks. Duration of the splanchnic nerve block was superior, median of 56days versus only 21days for celiac plexus block.Conclusion: T11 bilateral splanchnic block provided significantly longer relief from chronic nonmalignant abdominal pain, than celiac plexus block (p=0.001). Reduction in pain severity was more with splanchnic compared with celiac block (p=0.029).

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