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Spinal Pain
Anesthesia and Pain Medicine 2010;5(4):277-279.
Published online October 31, 2010.
A SGB treatment case of a patient's postoperative intractable hiccup: A case report
Young Deog Cha, Jang Ho Song, Bang Hoon Song, Jae Hak Lee, Helen Ki Shinn, Hong Sik Lee
Department of Anesthesia and Pain Medicine, Inha University Hospital, Incheon, Korea.
Hiccups occur due to sudden glottic closure connected to inspiratory muscle and diaphragm's involuntary spasm. Hiccups have been known to be caused organically, psychologically, and by some unknown causes, yet, their pathophysiologic mechanism is still unknown. There are non-drug treatments such as hyperventilation, drinking water, pharynx and larynx stimulation, and Valsalva maneuver: and drug treatments such as antipsychotics and antiepileptics. Nerve block can be also considered. A 67-year-old man, who was hospitalized due to his months' long hiccup, had begun hiccups 5-6 months after an operation of radical subtotal gastrectomy with Billroth I anastomosis due to his early gastric cancer. During follow-ups of 4 weeks and 12 weeks after one treatment of bilateral SGB, the patient no longer complained hiccups. In conclusion, SGB treatment for intractable hiccup is an alternative method to palliative therapy or pharmacotherapy when either method is ineffective as a cure.
Key Words: Gastrectomy, Hiccup, Stellate ganglion

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