Journal of Japan Society of Pain Clinicians
Online ISSN : 1884-1791
Print ISSN : 1340-4903
ISSN-L : 1340-4903
A case of intractable chronic abdominal pain caused by biliary dyskinesia treated with spinal cord stimulation
Fumiaki MINATOChiharu HAYASHIShintaro HAGIHARAMaya HAYASHIKenya KAMIJIMAYohichiro ABE
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2021 Volume 28 Issue 11 Pages 235-238

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Abstract

There is little evidence that spinal cord stimulation (SCS) is effective for chronic abdominal pain (CAP). Here we report a case of SCS for CAP due to biliary dyskinesia. The patient had a history of cholecystectomy 18 years ago, and suddenly developed biliary dyskinesia. Celiac plexus block was performed total 10 times, but as the effect of treatment was diminishing, we conducted a trial of SCS. The epidural lead was placed at the Th5 level, and after 13 trial days pain intensity decreased and opioid usage was decreased. Convention-SCS or high-frequency stimulation were introduced. Since the sympathetic nervous system is related to pain derived from the visceral nerve, the SCS system may be effective for reducing CAP and represents a promising treatment option.

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© 2021 Japan Society of Pain Clinicians
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