Protocolo diagnóstico del dolor abdominal crónico

  1. M. Alonso Sierra 1
  2. S. de la Riva 1
  1. 1 Clínica Universidad de Navarra IDISINA.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2016

Issue Title: Enfermedades del aparato digestivo (II): Patología gastroduodenal (I)

Series: 12

Issue: 2

Pages: 106-109

Type: Article

DOI: 10.1016/J.MED.2016.01.017 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Sustainable development goals

Abstract

Introduction Chronic or recurrent abdominal pain is a very common problem in clinical practice. It is defined as pain lasting more than three months. Aetiology The most common cause is the pathology of abdominal viscera, followed by referred pain from thoracic pathology. Diagnostic process It is essential a clinical approach with a good history and physical examination. The test must be oriented according to request diagnostic suspicion; these include abdominal ultrasound and CT. Sometimes it fails to identify an organic cause that justifies the patient's pathology, so it should be considered that it is a pain with a functional origin.

Bibliographic References

  • MCGarrity TJ, Peters DJ, Thompson C, McGarrity SJ. Outcome of patients with chronic abdominal pain referred to chronic pain clinic. Am J Gastroenterol. 2000;95(7):1812-6.
  • Bonica J. General considerations of abdominal pain. En: Loeser, editor. Bonica’s management of pain. Philadelphia: Lippin-cott William & Wilkins; 2001. p. 1235-68.
  • Yarce JC, Friedman LS. Chronic abdominal pain. En: Feldman M, Friedman LS, Brandt LJ, editors. Sleissenger and Fordtran’s. Gastrointestinal and liver disease. Vol 1. 10 ª ed. Estados Unidos: Elsevier; 2016. p. 175-84.
  • Greenbaum DS. Chronic abdominal wall pain (CAWP). Neurogastroenterol Motil. 2007;19(1):75.
  • Biolato M, Miele L, Gasbarrini G, Grieco A. Abdominal angina. Am J Med Sci. 2009;338(5):389-95.
  • Banerjee S, Cash BD, Dominitz JA, Baron TH, Anderson MA, Ben-Menachem T, et al. ASGE Standards of Practice Committee.The role of endoscopy in the management of patients with peptic ulcer disease.Gastrointest Endosc. 2010;71(4):663-8.
  • Annese V, Daperno M, Rutter MD, Amiot A, Bossuyt P, East J, et al; European Crohn’s and Colitis Organisation. European evidence based consensus for endoscopy in inflammatory bowel disease. J Crohns Colitis. 2013;7(12):982-1018.
  • Xue M, Chen X, Shi L, Si J, Wang L, Chen S. Small-bowel capsule endoscopy in patients with unexplained chronic abdominal pain: a systematic review. Gastrointest Endosc. 2015; 81(1):186-93.
  • Buxbaum JL, Eloubeidi MA. Endoscopic ultrasound, the one-stop shop for abdominal pain? United European Gastroenterol J. 2013;1(5):326-8.
Data source: Dialnet