WordNet

belonging to or prescribed for celiac disease; "a celiac diet"
a network of intersecting blood vessels or intersecting nerves or intersecting lymph vessels (同)rete

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腹[腔]の,腸にある
(神経・血管などの)網状組織

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/05/30 09:52:16」(JST)

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The celiac plexus or coeliac plexus, also known as the solar plexus because of its radiating nerve fibers,^[1] is a complex network of nerves (a nerve plexus) located in the abdomen, where the celiac trunk, superior mesenteric artery, and renal arteries branch from the abdominal aorta. It is behind the stomach and the omental bursa, and in front of the crura of the diaphragm, on the level of the first lumbar vertebra.

The plexus is formed (in part) by the greater and lesser splanchnic nerves of both sides, and fibers from the anterior and posterior vagal trunks.

The celiac plexus proper consists of the celiac ganglia with a network of interconnecting fibers. The aorticorenal ganglia are often considered to be part of the celiac ganglia, and thus, part of the plexus.

Related plexuses

Approximate location of the celiac plexus on the coronal plane

The celiac plexus includes a number of smaller plexi:

Hepatic plexus
Splenic plexus
Gastric plexus
Pancreatic plexus
Suprarenal plexus

Other plexuses that are derived from the celiac plexus:

Renal plexus
Testicular plexus / ovarian plexus
Superior mesenteric plexus
Inferior mesenteric plexus

Clinical significance

Lower half of right sympathetic cord

The celiac plexus is often popularly referred to as the solar plexus, generally in the context of a blow to the stomach. In many of these cases, it is not the celiac plexus itself being referred to, but rather the region where it is located. A blow to the stomach can upset this region. This can cause the diaphragm to spasm, resulting in difficulty in breathing—a sensation commonly known as "getting the wind knocked out of you". A blow to this region can also affect the celiac plexus itself, possibly interfering with the functioning of the viscera, as well as causing great pain.

A celiac plexus block by means of fluoroscopically guided injection is sometimes used to treat intractable pain from cancers^[2] such as pancreatic cancer. Frequently, celiac plexus block is performed by pain management specialists and radiologists, with CT scans for guidance. Intractable pain related to chronic pancreatitis is an important indication for celiac plexus ablation.

References

^ http://www.merriam-webster.com/dictionary/solar+plexus.
^ Garcia-Eroles X, Mayoral V, Montero A, Serra J, Porta J (2007). "Celiac plexus block: a new technique using the left lateral approach". The Clinical journal of pain 23 (7): 635–7. doi:10.1097/AJP.0b013e31812e6aa8. PMID 17710015.

External links

Anatomy photo:40:10-0101 at the SUNY Downstate Medical Center - "Posterior Abdominal Wall: The Celiac Plexus"
figures/chapter_32/32-6.HTM - Basic Human Anatomy at Dartmouth Medical School
celiac+plexus at eMedicine Dictionary
The Solar Plexus: Abdominal Brain By Theron Q. Dumont

UpToDate Contents

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1. 超音波内視鏡下の腹腔神経叢および神経節への介入 endoscopic ultrasound guided celiac plexus and ganglia interventions
2. 癌疼痛のマネージメント：介入的治療 cancer pain management interventional therapies
3. 慢性膵炎の治療 treatment of chronic pancreatitis
4. 局所進行性膵外分泌癌患者、転移性膵外分泌癌患者への支持療法 supportive care of the patient with locally advanced or metastatic exocrine pancreatic cancer
5. 治療を目的とした超音波内視鏡 therapeutic endoscopic ultrasound

English Journal

Palliative Care for Pancreatic and Periampullary Cancer.

Perone JA1, Riall TS2, Olino K1.
The Surgical clinics of North America.Surg Clin North Am.2016 Dec;96(6):1415-1430. doi: 10.1016/j.suc.2016.07.012.
Most patients with pancreatic cancer will present with metastatic or locally advanced disease. Unfortunately, most patients with localized disease will experience recurrence even after multimodality therapy. As such, pancreatic cancer patients arrive at a common endpoint where decisions pertaining t
PMID 27865285

Caval penetration of IVC Filter caused neuralgia of celiac plexus 2years after implantation.

Nishio M1, Hirooka K2, Ueda Y3, Sakaki M4, Doi Y2.
International journal of cardiology.Int J Cardiol.2016 Nov 15;223:524-525. doi: 10.1016/j.ijcard.2016.08.052. Epub 2016 Aug 9.
PMID 27552571

Intraprocedural increase in heart rate during EUS-guided celiac plexus neurolysis: Clinically relevant or just a physiologic change?

Bang JY1, Hasan MK2, Sutton B2, Holt BA2, Navaneethan U2, Hawes R2, Varadarajulu S2.
Gastrointestinal endoscopy.Gastrointest Endosc.2016 Nov;84(5):773-779.e3. doi: 10.1016/j.gie.2016.03.1496. Epub 2016 Apr 2.
BACKGROUND AND AIMS: Although EUS-guided celiac plexus neurolysis (EUS-CPN) is performed frequently for palliation of pain in pancreatic cancer, response to treatment is variable. Although intraprocedural increases in heart rate during alcohol injection are observed frequently, their significance an
PMID 27048974

Japanese Journal

膵癌に対する膵頭神経叢切除の意義 : 病理学的にROをめざす手術

山形大学紀要. 医学 : 山形医学 = Bulletin of the Yamagata University. Medical science : Yamagata medical journal 34(2), 50-60, 2016-08-15
NAID 120005830693

痛み診療の現場における2013年1年間の有害事象について─日本ペインクリニック学会安全委員会・有害事象調査報告と課題─

日本ペインクリニック学会誌 23(2), 79-86, 2016
NAID 130005160429

EUSガイド下腹腔神経叢ブロック

膵臓 30(2), 191-198, 2015
NAID 130005068116

Related Pictures

★リンクテーブル★

リンク元	「腹腔神経叢」「右腹腔神経叢」
関連記事	「celiac」「plexus」「plexuses」

「腹腔神経叢」

Nerve: Celiac plexus
	The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Label for celiac plexus at center right.)
	The celiac ganglia with the sympathetic plexuses of the abdominal viscera radiating from the ganglia. (Label for celiac plexus at top center.)
Latin	plexus coeliacus
Gray's	p.985
From	celiac branches of vagus nerve
MeSH	Celiac+Plexus