Question:medium
Regarding celiac plexus block, all of the following are true except:
Regarding celiac plexus block, all of the following are true except:
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There is more than one route to reach the celiac plexus.
Updated On: Jun 24, 2026
- Relieves pain from gastric malignancy
- Causes hypotension
- Can be used to provide anesthesia for intra-abdominal surgery
- Can be given only by the retrocrural (classic) approach
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The Correct Option is D
Solution and Explanation
Step 1: What the block does. Anesthetising or neurolysing the celiac plexus interrupts visceral afferent pain pathways from the upper abdomen, giving excellent relief in gastric and pancreatic cancer pain and serving as a useful adjunct for intra-abdominal surgical anesthesia.
Step 2: Predictable side effect. Because the plexus also carries sympathetic fibres to the gut, blocking it causes splanchnic vasodilatation. The resulting blood pooling lowers systemic vascular resistance and frequently leads to hypotension, so this is a genuine effect of the procedure.
Step 3: Multiple techniques exist. The plexus is not reachable by a single route only. It can be approached retrocrurally (the classic method), anterocrurally, or indirectly through a splanchnic nerve block. The statement restricting it to the retrocrural route alone is therefore incorrect.
Step 4: Verdict. Three statements are correct and only the one claiming a sole retrocrural approach is false.
\[\boxed{\text{Can be given only by the retrocrural (classic) approach}}\]
Step 2: Predictable side effect. Because the plexus also carries sympathetic fibres to the gut, blocking it causes splanchnic vasodilatation. The resulting blood pooling lowers systemic vascular resistance and frequently leads to hypotension, so this is a genuine effect of the procedure.
Step 3: Multiple techniques exist. The plexus is not reachable by a single route only. It can be approached retrocrurally (the classic method), anterocrurally, or indirectly through a splanchnic nerve block. The statement restricting it to the retrocrural route alone is therefore incorrect.
Step 4: Verdict. Three statements are correct and only the one claiming a sole retrocrural approach is false.
\[\boxed{\text{Can be given only by the retrocrural (classic) approach}}\]
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