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Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report-
BACKGROUND: There have been reports of neurolytic transversus abdominis plane (TAP) block using different agents such as alcohol or phenol for the treatment of chronic abdominal pain caused by malignant abdominal wall invasion. However, to date, there have been no reports on neurolytic abdominal wal...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Anesthesiologists
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280887/ https://www.ncbi.nlm.nih.gov/pubmed/31048655 http://dx.doi.org/10.4097/kja.19041 |
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author | Lee, Ki Hoon Kim, Dae Hyun Kim, Yang Hyun Ro, Soo Han Lee, Jun |
author_facet | Lee, Ki Hoon Kim, Dae Hyun Kim, Yang Hyun Ro, Soo Han Lee, Jun |
author_sort | Lee, Ki Hoon |
collection | PubMed |
description | BACKGROUND: There have been reports of neurolytic transversus abdominis plane (TAP) block using different agents such as alcohol or phenol for the treatment of chronic abdominal pain caused by malignant abdominal wall invasion. However, to date, there have been no reports on neurolytic abdominal wall blocks for pain with non-cancer-related origin in cancer patients. CASE: We performed subcostal TAP neurolysis using ethanol in a patient with esophageal cancer with constant pain at the site of gastrostomy. After neurolysis, the patient’s overall pain decreased, with the exception of pain in the medial part of the gastrostomy site. We performed additional rectus sheath neurolysis using ethanol for the treatment of continuous pain at the medial site, and the effect of neurolysis has persisted for over 4 months. CONCLUSIONS: Alcohol-based TAP neurolysis and rectus sheath neurolysis provide effective pain control in a cancer patient with chronic treatment-related pain involving the abdominal wall. |
format | Online Article Text |
id | pubmed-7280887 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Anesthesiologists |
record_format | MEDLINE/PubMed |
spelling | pubmed-72808872020-06-17 Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- Lee, Ki Hoon Kim, Dae Hyun Kim, Yang Hyun Ro, Soo Han Lee, Jun Korean J Anesthesiol Case Report BACKGROUND: There have been reports of neurolytic transversus abdominis plane (TAP) block using different agents such as alcohol or phenol for the treatment of chronic abdominal pain caused by malignant abdominal wall invasion. However, to date, there have been no reports on neurolytic abdominal wall blocks for pain with non-cancer-related origin in cancer patients. CASE: We performed subcostal TAP neurolysis using ethanol in a patient with esophageal cancer with constant pain at the site of gastrostomy. After neurolysis, the patient’s overall pain decreased, with the exception of pain in the medial part of the gastrostomy site. We performed additional rectus sheath neurolysis using ethanol for the treatment of continuous pain at the medial site, and the effect of neurolysis has persisted for over 4 months. CONCLUSIONS: Alcohol-based TAP neurolysis and rectus sheath neurolysis provide effective pain control in a cancer patient with chronic treatment-related pain involving the abdominal wall. Korean Society of Anesthesiologists 2020-06 2019-04-30 /pmc/articles/PMC7280887/ /pubmed/31048655 http://dx.doi.org/10.4097/kja.19041 Text en Copyright © The Korean Society of Anesthesiologists, 2020 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lee, Ki Hoon Kim, Dae Hyun Kim, Yang Hyun Ro, Soo Han Lee, Jun Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title | Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title_full | Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title_fullStr | Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title_full_unstemmed | Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title_short | Neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
title_sort | neurolytic abdominal wall blocks with alcohol for intractable gastrostomy site pain in a cancer patient -a case report- |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280887/ https://www.ncbi.nlm.nih.gov/pubmed/31048655 http://dx.doi.org/10.4097/kja.19041 |
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