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Chronic Abdominal Pain pp 125–128Cite as

Interventional Treatment of Chronic Abdominal Pain in Children

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Abstract

Chronic abdominal pain is a commonly encountered complaint amongst children and adolescents. Pediatric chronic abdominal pain syndromes frequently involve a somatosensory component, for which peripheral nerve blockade has become an important therapeutic modality. The evolution of ultrasound guidance has made such techniques more popular and effective. Peripheral nerve blocks can serve as useful adjuncts to managing chronic abdominal pain conditions in children in cases that are refractory to noninvasive treatments. In this chapter, we summarize the current knowledge and reported practices of peripheral nerve blocks in managing pediatric chronic abdominal pain. A brief description of commonly performed nerve blocks, including anatomy, indications, and potential complications, is provided.

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References

  1. Walker LS, et al. Functional abdominal pain in childhood and adolescence increases risk for chronic pain in adulthood. Pain. 2010;150(3):568–72.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Walker LS, et al. Functional abdominal pain patient subtypes in childhood predict functional gastrointestinal disorders with chronic pain and psychiatric comorbidities in adolescence and adulthood. Pain. 2012;153(9):1798–806.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Carayannopoulos AG, et al. Use of regional blockade to facilitate inpatient rehabilitation of recalcitrant complex regional pain syndrome. PM R. 2009;1(2):194–8.

    Article  PubMed  Google Scholar 

  4. Dadure C, et al. Continuous peripheral nerve blocks at home for treatment of recurrent complex regional pain syndrome I in children. Anesthesiology. 2005;102(2):387–91.

    Article  PubMed  Google Scholar 

  5. Ponde V, Desai AP, Shah D. Comparison of success rate of ultrasound-guided sciatic and femoral nerve block and neurostimulation in children with arthrogryposis multiplex congenita: a randomized clinical trial. Paediatr Anaesth. 2013;23(1):74–8.

    Article  PubMed  Google Scholar 

  6. Bhalla T, et al. Ultrasound-guided trunk and core blocks in infants and children. J Anesth. 2013;27(1):109–23.

    Article  PubMed  Google Scholar 

  7. Gurnaney HG, et al. Prospective randomized observer-blinded study comparing the analgesic efficacy of ultrasound-guided rectus sheath block and local anaesthetic infiltration for umbilical hernia repair. Br J Anaesth. 2011;107(5):790–5.

    Article  CAS  PubMed  Google Scholar 

  8. Pak T, et al. Transverse abdominis plane block: a new approach to the management of secondary hyperalgesia following major abdominal surgery. Paediatr Anaesth. 2009;19(1):54–6.

    Article  PubMed  Google Scholar 

  9. Simpson DM, et al. Use of ultrasound-guided subcostal transversus abdominis plane blocks in a pediatric patient with chronic abdominal wall pain. Paediatr Anaesth. 2011;21(1):88–90.

    Article  PubMed  Google Scholar 

  10. Fredrickson M, Seal P, Houghton J. Early experience with the transversus abdominis plane block in children. Paediatr Anaesth. 2008;18(9):891–2.

    Article  PubMed  Google Scholar 

  11. Suresh S, Chan VW. Ultrasound guided transversus abdominis plane block in infants, children and adolescents: a simple procedural guidance for their performance. Paediatr Anaesth. 2009;19(4):296–9.

    Article  PubMed  Google Scholar 

  12. Kehlet H. Chronic pain after groin hernia repair. Br J Surg. 2008;95(2):135–6.

    Article  CAS  PubMed  Google Scholar 

  13. Suresh S, et al. Ultrasound-guided serial ilioinguinal nerve blocks for management of chronic groin pain secondary to ilioinguinal neuralgia in adolescents. Paediatr Anaesth. 2008;18(8):775–8.

    Article  PubMed  Google Scholar 

  14. Jagannathan N, et al. Unilateral groin surgery in children: will the addition of an ultrasound-guided ilioinguinal nerve block enhance the duration of analgesia of a single-shot caudal block? Paediatr Anaesth. 2009;19(9):892–8.

    Article  PubMed  Google Scholar 

  15. Hannallah RS, et al. Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchiopexy pain in pediatric ambulatory surgery. Anesthesiology. 1987;66(6):832–4.

    Article  CAS  PubMed  Google Scholar 

  16. Markham SJ, Tomlinson J, Hain WR. Ilioinguinal nerve block in children. A comparison with caudal block for intra and postoperative analgesia. Anaesthesia. 1986;41(11):1098–103.

    Article  CAS  PubMed  Google Scholar 

  17. Willschke H, et al. Ultrasonography for ilioinguinal/iliohypogastric nerve blocks in children. Br J Anaesth. 2005;95(2):226–30.

    Article  CAS  PubMed  Google Scholar 

  18. Smith T, Moratin P, Wulf H. Smaller children have greater bupivacaine plasma concentrations after ilioinguinal block. Br J Anaesth. 1996;76(3):452–5.

    Article  CAS  PubMed  Google Scholar 

  19. Skinner AV, Lauder GR. Rectus sheath block: successful use in the chronic pain management of pediatric abdominal wall pain. Paediatr Anaesth. 2007;17(12):1203–11.

    Article  PubMed  Google Scholar 

  20. Willschke H, et al. Ultrasonography-guided rectus sheath block in paediatric anaesthesia–a new approach to an old technique. Br J Anaesth. 2006;97(2):244–9.

    Article  CAS  PubMed  Google Scholar 

  21. Ferguson S, Thomas V, Lewis I. The rectus sheath block in paediatric anaesthesia: new indications for an old technique? Paediatr Anaesth. 1996;6(6):463–6.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Anesthesiology, Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 East Chicago Avenue, Box 19, Chicago, IL, 60611, USA

    Ravi Shah M.D. & Santhanam Suresh M.D., F.A.A.P.

  2. Feinberg School of Medicine, Northwestern University, 420 East Superior Street, Chicago, IL, 60611, USA

    Ravi Shah M.D. & Santhanam Suresh M.D., F.A.A.P.

Authors
  1. Ravi Shah M.D.
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  2. Santhanam Suresh M.D., F.A.A.P.
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Corresponding author

Correspondence to Ravi Shah M.D. .

Editor information

Editors and Affiliations

  1. Medical Director, Carolinas Pain Institute and Clinical Research Center, Professor of Anesthesiology, Wake Forest University, School of Medicine, Winston-Salem, North Carolina, USA

    Leonardo Kapural

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© 2015 Springer Science+Business Media New York

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Shah, R., Suresh, S. (2015). Interventional Treatment of Chronic Abdominal Pain in Children. In: Kapural, L. (eds) Chronic Abdominal Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1992-5_12

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  • DOI: https://doi.org/10.1007/978-1-4939-1992-5_12

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1991-8

  • Online ISBN: 978-1-4939-1992-5

  • eBook Packages: MedicineMedicine (R0)

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