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Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report

RATIONALE: Chronic ulcerative colitis is an autoimmune disease in which epithelial injury continuously occurs in the colonic mucosa. While mesalazine (5-aminosalicylic acid) is used to treat ulcerative colitis, it can also cause liver failure, headaches, and abdominal pain; therefore, an alternative...

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Autores principales: Kim, Young Shin, Song, Jang Ho, Kim, Young Jun, Lee, Kyung Joo, Lee, Sun Hee, Kim, Na Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294900/
https://www.ncbi.nlm.nih.gov/pubmed/34398039
http://dx.doi.org/10.1097/MD.0000000000026684
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author Kim, Young Shin
Song, Jang Ho
Kim, Young Jun
Lee, Kyung Joo
Lee, Sun Hee
Kim, Na Eun
author_facet Kim, Young Shin
Song, Jang Ho
Kim, Young Jun
Lee, Kyung Joo
Lee, Sun Hee
Kim, Na Eun
author_sort Kim, Young Shin
collection PubMed
description RATIONALE: Chronic ulcerative colitis is an autoimmune disease in which epithelial injury continuously occurs in the colonic mucosa. While mesalazine (5-aminosalicylic acid) is used to treat ulcerative colitis, it can also cause liver failure, headaches, and abdominal pain; therefore, an alternative treatment is required. The purpose of this study was to evaluate the effectiveness of 80 stellate ganglion blocks in reducing pain and other symptoms in a patient with chronic ulcerative colitis. PATIENT CONCERNS: A 54-year-old female patient with a history of ulcerative colitis was concerned with worsening symptoms, such as abdominal discomfort and bloody-mucous stools, over the past 3 years. DIAGNOSES: Oozing mucosal bleeding and a small amount of exudate were observed on colonoscopy; a diagnosis of ulcerative colitis was made upon histologic examination. INTERVENTIONS AND OUTCOMES: A total of 80 stellate ganglion blocks were administered, after which the patient's symptom and pain level was decreased from 6 to 4 points on the numeric rating scale (11-point, 0 = no pain, 10 = worst pain imaginable). Improved clinical signs were observed on colonoscopy at a follow-up assessment. LESSONS: The stellate ganglion block may be effective for the reduction of pain and other symptoms in patients with chronic ulcerative colitis.
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spelling pubmed-82949002021-07-24 Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report Kim, Young Shin Song, Jang Ho Kim, Young Jun Lee, Kyung Joo Lee, Sun Hee Kim, Na Eun Medicine (Baltimore) 3300 RATIONALE: Chronic ulcerative colitis is an autoimmune disease in which epithelial injury continuously occurs in the colonic mucosa. While mesalazine (5-aminosalicylic acid) is used to treat ulcerative colitis, it can also cause liver failure, headaches, and abdominal pain; therefore, an alternative treatment is required. The purpose of this study was to evaluate the effectiveness of 80 stellate ganglion blocks in reducing pain and other symptoms in a patient with chronic ulcerative colitis. PATIENT CONCERNS: A 54-year-old female patient with a history of ulcerative colitis was concerned with worsening symptoms, such as abdominal discomfort and bloody-mucous stools, over the past 3 years. DIAGNOSES: Oozing mucosal bleeding and a small amount of exudate were observed on colonoscopy; a diagnosis of ulcerative colitis was made upon histologic examination. INTERVENTIONS AND OUTCOMES: A total of 80 stellate ganglion blocks were administered, after which the patient's symptom and pain level was decreased from 6 to 4 points on the numeric rating scale (11-point, 0 = no pain, 10 = worst pain imaginable). Improved clinical signs were observed on colonoscopy at a follow-up assessment. LESSONS: The stellate ganglion block may be effective for the reduction of pain and other symptoms in patients with chronic ulcerative colitis. Lippincott Williams & Wilkins 2021-07-23 /pmc/articles/PMC8294900/ /pubmed/34398039 http://dx.doi.org/10.1097/MD.0000000000026684 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle 3300
Kim, Young Shin
Song, Jang Ho
Kim, Young Jun
Lee, Kyung Joo
Lee, Sun Hee
Kim, Na Eun
Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title_full Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title_fullStr Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title_full_unstemmed Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title_short Effect of the stellate ganglion block on symptoms of ulcerative colitis: A case report
title_sort effect of the stellate ganglion block on symptoms of ulcerative colitis: a case report
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294900/
https://www.ncbi.nlm.nih.gov/pubmed/34398039
http://dx.doi.org/10.1097/MD.0000000000026684
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