Persistent Diarrhea after Celiac Plexus Block in a Pancreatic Cancer Patient: Case Report and Literature Review

摘要: Abstract Background: Neurolytic celiac plexus block is increasingly used to treat refractory pain associated with abdominal malignancies, especially pancreatic cancer. While self-limiting diarrhea can occur commonly in patients post procedure, a very rare risk of persistent exists. Objective: We present case 70 year old female locally advanced adenocarcinoma who was hospitalized for severe and discuss management options this adverse effect. Design: A review the current literature within past 20 years (PubMed Ovid databases) conducted alternatives management. Measurements/Results: Ninety-three entries were found total including duplicates only two included relevance. Management that discussed anti-motility agents, alpha-adrenergic agonists, somastatin analog (octreotide). Our patient initially treated loperamide, hyoscine, psyllium, cholestyram...