Celiac Plexus Block to Treat Refractory Feed Induced Dystonia in Children with Severe Neurodisability: A Single Center Case Series.

Autor: Campbell DI; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Rabone RM; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Fadilah A; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Raghavan A; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Urs AN; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Eissa A; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Lindley RM; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom., Mordekar S; From the Sheffield Children's Hospital NHS Foundation Trust UK, Sheffield, United Kingdom.
Jazyk: angličtina
Zdroj: JPGN reports [JPGN Rep] 2021 Oct 25; Vol. 2 (4), pp. e134. Date of Electronic Publication: 2021 Oct 25 (Print Publication: 2021).
DOI: 10.1097/PG9.0000000000000134
Abstrakt: This observational study describes the procedure technique, safety outcomes, and patient responses to celiac plexus blockade (CPB) in children with severe neurodisability with refractory feed intolerance, feed induced pain or feed induced dystonia (FID).
Method: A review of the pathophysiological response to feeding in children with significant neurodisability and the effect on the neuroenteric system. A 2-stage CT-guided temporary celiac plexus blockade followed by neurolysis technique is described. We compile a case series of 5 patients with life limiting conditions and significant disability undergoing CPB in a single tertiary pediatric hospital.
Results: A total of 10 separate procedures in 5 children were completed. A positive outcome was observed in 3 out of 4 cases of pediatric FID. Two of the three patients on parenteral nutrition had improved feed tolerance postprocedure. All children tolerated the procedure well, no postprocedure complications were documented.
Conclusions: In selected cases, children with life-threatening feed induced dystonia or effective intestinal failure can be safely treated with celiac plexus blockade when other therapies have failed.
Competing Interests: The authors report no funding and conflicts of interest.
(Copyright © 2021 The Author(s). Published by Wolters Kluwer on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)
Databáze: MEDLINE
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