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Celiac plexus block with botulinum toxin in severe chronic pancreatitis—A case report
Author(s) -
Cho Noo Ree,
Kim Yoo Na,
Kim Ji Yeong,
Ko Yu Ri,
Hong Tae Ho,
Moon Hyun Kyung,
Park Hue Jung
Publication year - 2020
Publication title -
journal of clinical pharmacy and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.622
H-Index - 73
eISSN - 1365-2710
pISSN - 0269-4727
DOI - 10.1111/jcpt.13180
Subject(s) - medicine , pancreatitis , tramadol , anesthesia , visual analogue scale , botulinum toxin , chronic pain , surgery , celiac plexus , analgesic , psychiatry
What is known and objective The botulinum toxin (BoNT) has been widely used for various conditions associated with pain. Case description Here, we report a case where celiac plexus block (CPB) with BoNT relieved intractable chronic pancreatic pain without complications. CPB was performed at the L1 level under fluoroscopic guidance, and 50 IU BoNT was injected on each side. After 15 weeks, pain was decreased to 0/10 on a visual analogue scale, without opioids or tramadol. What is new and conclusion Our case demonstrates the efficacy of CPB with BoNT in intractable pain due to severe chronic pancreatitis.