Celiac Plexus Block – A Palliative Care For Pancretic Malignancy

Abstract

The plexus is formed (in part) by the greater and lesser splanchnic nerves of both sides, and also parts of the right vagus nerve. The celiac plexus proper consists of the celiac ganglia with a network of interconnecting fibers. The aorticorenal ganglia are often considered to be part of the celiac ganglia, and thus, part of the plexus. Celiac ganglia vary from 1 to 5 in number, and also located from T12 to L2. The celiac plexus innervates most of the abdominal viscera, including stomach, liver, biliary tract, pancreas, spleen, kidneys, adrenals, omentum, small bowel, and large bowel to the level of the splenic flexure. Coeliac Plexus block can be performed for pain palliation in patients who have chronic abdominal pain related malignancy. Many ways are available for performing the block; blocks which are performed under image guidance has less complication and good success rate.