The Epidemiology of Chronic Abdominal Pain
Fig. 2.1 Incidence of Pediatric IBD over 17-year period in southern Finland. The mean annual incidence rate increased from 3.9/100,000 (95 % confidence interval [CI] 2.5–5.8) in 1987 to 7.0/100,000…
Lessons Learned from Visceral Sensory Stimulation: Implications for Treatment of Chronic Abdominal Pain
Fig. 5.1 The concept of experimental pain. The pain system can be considered as a “black box” between the experimental stimulation (input) and the response (output). When input and output…
Peripheral Nerve Stimulation for Chronic Abdominal Pain
Fig. 20.1 Stimulating 14-G Coudé needle and multipolar electrode This needle has been used in five patients undergoing peripheral neuromodulation implantation and its easy steerability and stimulation at the introducer…
Interventional Treatment of Chronic Abdominal Pain in Children
Fig. 12.1 Arrow indicating potential space where local anesthetic is deposited (EO external oblique, IO internal oblique, TA transversus abdominis muscle) Technique Various techniques have been described to use an…
Chronic Abdominal Wall Pain: Diagnosis and Interventional Treatment
Abdominal cutaneous nerve entrapment syndrome Abdominal wall hernias and post-herniorrhaphy pain Surgical scars and neuromas Abdominal wall or rectus sheath hematoma Thoracic disc degeneration and thoracic radiculopathy Herpes Zoster infection…
Surgical Options for Chronic Visceral Abdominal Pain
Fig. 23.1 Common causes and location of chronic abdominal pain Table 23.1 Characteristics of abdominal pain Epigastric pain Referred pain from pancreas, stomach and hepatobiliary tree Umbilical pain Small bowel…
Establishing Diagnosis of Chronic Abdominal Pain: Pain Medicine view
Component Visceral Somatic Nerve fiber Ad, C Ab [allodynia], Ad, C End organ silent nociceptors Yes (~80 %) Yes (~20 %) DH laminar synapse I, V, X I-to-V and X…
Establishing Diagnosis of Chronic Abdominal Pain: Gastroenterologist View
Etiology Typical diagnostic tests Treatment Organic Gallstones US, HIDA scan Cholecystectomy Cholangitis RUQ US, ERCP ERCP Appendicitis CT scan Appendectomy Peptic ulcer disease Upper endoscopy, H. pylori testing Proton pump…
Chronic Pancreatitis With or Without Acute Exacerbations: Novel Options for Pain Control
Alcoholic pancreatitis Hereditary pancreatitis Autoimmune pancreatitis Metabolic pancreatitis (hypercalcemia, hyperlipidemia) Tropical pancreatitis Idiopathic Increased daily alcohol intake has been linked to a higher risk for chronic pancreatitis. There is, however,…
Psychological Determinants and Treatments for Chronic Abdominal Pain
Fig. 25.1 The functional anatomy of the hypothalamic–pituitary–adrenal axis. Reprinted with permission, Cleveland Clinic Center for Medical Art & Photography © 2013. All Rights Reserved Stress has been well documented…
