At SHIFAA PAN African Hospitals, we offer celiac plexus neurolysis as a minimally invasive procedure to manage pain associated with certain abdominal conditions, such as pancreatic cancer or chronic pancreatitis. This procedure involves the injection of a neurolytic agent into the celiac plexus, a network of nerves located in the abdomen, to disrupt pain signals and provide relief.

Procedure:

Celiac plexus neurolysis is typically performed under fluoroscopic guidance to ensure precise needle placement. The patient is positioned on their stomach, and the skin over the abdomen is cleaned and numbed with local anesthesia. Using fluoroscopy for guidance, a thin needle is inserted through the skin and advanced to the celiac plexus near the spine. Once the needle tip is in the correct position, a neurolytic agent, such as alcohol or phenol, is injected to disrupt the function of the nerves transmitting pain signals.

Symptoms:

Celiac plexus neurolysis may be recommended for patients experiencing severe abdominal pain that is difficult to control with medications alone. Common conditions that may benefit from this procedure include pancreatic cancer, chronic pancreatitis, and other abdominal malignancies.

Diagnosis:

Patients undergoing celiac plexus neurolysis typically have a confirmed diagnosis of pancreatic cancer, chronic pancreatitis, or another abdominal condition causing significant pain. This procedure is intended to provide palliative pain relief and improve the patient’s quality of life.

Post-Procedure Care:

After celiac plexus neurolysis, patients may experience temporary soreness or discomfort at the injection site. Pain relief from the procedure may take several days to become noticeable as the neurolytic agent takes effect. Patients are monitored for any potential complications, such as nerve damage or infection, and are provided with post-procedure instructions for pain management and recovery.

 

How long does pain relief from celiac plexus neurolysis last?

Pain relief from celiac plexus neurolysis can vary from patient to patient. Some individuals experience significant and long-lasting pain relief, while others may require repeat procedures for sustained benefit. Your healthcare provider will discuss the expected duration of pain relief based on your specific condition.

 

Are there any risks associated with celiac plexus neurolysis?

Celiac plexus neurolysis is considered a safe procedure when performed by experienced medical professionals. However, like any medical intervention, there are potential risks, including bleeding, infection, and nerve damage. Your healthcare provider will discuss the risks and benefits of the procedure with you beforehand.

 

How soon can I resume normal activities after celiac plexus neurolysis?

Patients can typically resume normal activities shortly after celiac plexus neurolysis, although strenuous activities may need to be avoided for a short period to allow for recovery. Your healthcare provider will provide specific post-procedure instructions based on your individual circumstances.