Management of patients with chronic abdominal pain in clinical practice

被引:11
作者
Camilleri, M [1 ]
机构
[1] Mayo Clin & Mayo Fdn, Coll Med, Clin Enter Neurosci Translat & Epidemiol Res Prog, Rochester, MN 55905 USA
关键词
pain; functional; Carnett's diagnosis; analgesic; antidepressant;
D O I
10.1111/j.1365-2982.2005.00744.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A practical approach to the management of chronic abdominal pain is needed, given the high prevalence and impact of this problem. This article describes an approach that has evolved based on clinical experience and review of the literature: identifying predominant bloaters and abdominal wall pain; exclusion of organic disease, including consideration of laparoscopy for diagnosis; consideration of chronic functional abdominal pain and the first and second line pharmacotherapies; and seeking specialist care in a pain clinic, psychiatry, or behavioural therapy.
引用
收藏
页码:499 / 506
页数:8
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