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Revista de la Sociedad Española del Dolor
Print version ISSN 1134-8046
Abstract
SALAZAR CARRERA, I H; ROMERO ANDRES, R; REVELO VASCONEZ, J P and MORA USECHE, A E. Splanchnic nerve block for the treatment of benign chronic abdominal pain. a case report and literature review. Rev. Soc. Esp. Dolor [online]. 2020, vol.27, n.4, pp.273-277. Epub Oct 13, 2020. ISSN 1134-8046. https://dx.doi.org/10.20986/resed.2020.3818/2020.
Chronic abdominal pain of benign origin can be disabling and significantly reduces the quality of life of some patients. Common treatment includes the chronic use of opioids that have also been linked with causing different sources of pain, so alternative pharmacological treatments should be considered instead. However, when these are not effective, insufficient, or cause intolerable adverse effects, interventional pain management should be considered. In this field, the inhibition of splanchnic nerves, which is a technique that can be used to control cancer pain, could play an important role in the treatment of chronic pain of benign origin, despite the lack of solid evidence in its applicability.
As far as we know, it is the first time that this procedure has been performed in Ecuador and this report suggests that it can offer positive results even after the effect of the drugs used has ended.
Keywords : Splanchnic nerve block; Abdominal pain chronic; Visceral pain; Splacnic block.