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CASE REPORT article

Front. Neurosci.

Sec. Autonomic Neuroscience

This article is part of the Research TopicNew insights into stellate ganglion blockade in basic and clinical studiesView all 4 articles

Case Report: Celiac Plexus Block Improves Gastrointestinal Long Covid Symptoms

Provisionally accepted
Luke  D LiuLuke D Liu1*Deborah  DurickaDeborah Duricka1,2
  • 1Neuroversion Inc., Anchorage, Alaska, United States
  • 2WWAMI School of Medical Education, Anchorage, United States

The final, formatted version of the article will be published soon.

Lingering symptoms following SARS-CoV-2 infection, recognized as the clinical entity "Long COVID", are common. Gastrointestinal dysfunction during and after COVID have received little attention to date and remain largely unaddressed. We have previously shown that numerous symptoms of Long COVID excluding gastrointestinal symptoms improve or resolve following stellate ganglion blocks (SGB). Here, we are first to report successful treatment of persistent post-COVID epigastric pain and diarrhea in three patients using celiac plexus block, a procedure commonly used for visceral abdominal pain and implicating the autonomic nervous system in Long COVID-associated GI symptoms.

Keywords: Long Covid, Irritable bowel syndrome (IBS), Gastrointestinal (GI) dysfunction, Visceral hyperalgesia, Diarrhea, Constipation, Stellate ganglion block (SGB), celiac plexus block (CPB)

Received: 08 Mar 2025; Accepted: 10 Nov 2025.

Copyright: © 2025 Liu and Duricka. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Luke D Liu, lliu@neuroversion.net

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