A stepwise approach for effective management of chronic pain in autosomal-dominant polycystic kidney disease

被引：37

作者：

Casteleijn, Niek F. ^{[1
]}

Visser, Folkert W. ^{[1
]}

Drenth, Joost P. H. ^{[2
]}

Gevers, Tom J. G. ^{[2
]}

Groen, Gerbrand J. ^{[3
]}

Hogan, Marie C. ^{[4
]}

Gansevoort, Ron T. ^{[1
]}

机构：

[1] Univ Groningen, Univ Med Ctr Groningen, Dept Nephrol, Groningen, Netherlands

[2] Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, NL-6525 ED Nijmegen, Netherlands

[3] Univ Groningen, Univ Med Ctr Groningen, Dept Anesthesiol, Pain Ctr, Groningen, Netherlands

[4] Mayo Clin, Dept Internal Med, Div Nephrol & Hypertens, Rochester, MN USA

来源：

NEPHROLOGY DIALYSIS TRANSPLANTATION | 2014年 / 29卷

关键词：

ADPKD; management; pain; polycystic kidney disease; polycystic liver disease; CELIAC PLEXUS BLOCKADE; TRANSCATHETER ARTERIAL EMBOLIZATION; ASSISTED LAPAROSCOPIC NEPHRECTOMY; N-BUTYL CYANOACRYLATE; QUALITY-OF-LIFE; LIVER-DISEASE; HEPATIC CYSTS; ALCOHOL SCLEROTHERAPY; RENAL DENERVATION; MINOCYCLINE HYDROCHLORIDE;

D O I：

10.1093/ndt/gfu073

中图分类号：

R3 [基础医学]; R4 [临床医学];

学科分类号：

1001 ; 1002 ; 100602 ;

摘要：

Chronic pain, defined as pain existing for >4-6 weeks, affects >60% of patients with autosomal-dominant polycystic disease (ADPKD). It can have various causes, indirectly or directly related to the increase in kidney and liver volume in these patients. Chronic pain in ADPKD patients is often severe, impacting physical activity and social relationships, and frequently difficult to manage. This review provides an overview of pathophysiological mechanisms that can lead to pain and discusses the sensory innervation of the kidneys and the upper abdominal organs, including the liver. In addition, the results of a systematic literature search of ADPKD-specific treatment options are presented. Based on pathophysiological knowledge and evidence derived from the literature an argumentative stepwise approach for effective management of chronic pain in ADPKD is proposed.

引用

页码：142 / 153

页数：12

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