Spinal cord stimulation for visceral pain related to chronic pancreatitis: report of 2 cases.

Abstract

To report our experience related to the use of spinal cord stimulation (SCS) for relief of chronic pancreatitis-related neuropathic visceral pain. Two patients, 50 years old and 39 years old, presented with intractable visceral pain related to chronic pancreatitis. A quadripolar electrode for SCS was inserted at the T8-10 level using a percutaneous technique. After a successful trial, a permanent stimulator was inserted. At a mean follow-up of 7 years, both patients showed a marked improvement, with 80% and 90% decrease of pain, respectively, as assessed by Visual Analogue Scale. Pain medications were discontinued in both cases. SCS appears to be an effective long-term treatment for neuropathic visceral pain related to chronic pancreatitis.