WHAT IS IT?
The celiac plexus itself is the nerve supply to the pancreas, gall bladder, spleen, and portions of the intestines, stomach and liver. It is often activated when a person has pancreatic cancer. When we talk about a celiac plexus block, we are talking about blocking the pain that comes from this nerve supply. First, a local anesthetic is placed around the celiac plexus using live action x-ray. If this is effective in alleviating some of the abdominal pain, after a week or so a solution of concentrated achohol is placed in the area, which kills the nerves, and blocks the pain. This procedure can be done as an outpatient procedure.
WHO IS IT FOR?
Often used for patients with abdominal pain caused by pancreatic cancer. 80-85% of patients with pancreatic cancer respond to this treatment, which can last up to 3 months and be repeated.
WHAT ARE THE RISKS?
There is some risk of infection, bleeding in and around the tumor, and punctured lung. Some patients have diarrhea for a day or two and feel lightheaded after the procedure.