Coeliac Plexus block

The coeliac plexus is a bundle of nerves located in the upper abdomen, near the aorta, responsible for carrying pain signals from the abdominal organs to the brain. A Coeliac Plexus Block is a minimally invasive procedure in which medication is injected around these nerves to interrupt the transmission of pain signals. It is often used to manage chronic abdominal pain caused by conditions such as pancreatic cancer, chronic pancreatitis, and other upper abdominal cancers or non-cancerous painful disorders. This procedure can offer significant pain relief, reduce the dependence on strong pain medications, and enhance overall quality of life.

Signs & Symptoms Where a Coeliac Plexus Block May Help

You may be a candidate for this procedure if you have:

 

  • Persistent abdominal pain not relieved by oral medications

     

  • Pain in the upper abdomen radiating to the back

     

  • Severe discomfort interfering with eating or sleeping

     

  • Pain due to pancreatic or abdominal cancers

     

  • Pain from chronic pancreatitis

Diagnostic Procedure

 

Before recommending a Coeliac Plexus Block, Dr. Manish De follows a thorough diagnostic process:

 
  1. Detailed Medical History & Examination – To understand the source and pattern of pain.

     
  2. Imaging Studies – CT scan, MRI, or ultrasound to confirm the pain source and guide needle placement.

     
  3. Test Block – Sometimes a small amount of anesthetic is injected as a trial to assess response before a long-acting block.

     
  4. Fluoroscopic or Ultrasound Guidance – Ensures precise medication delivery with maximum safety.