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Functional abdominal pain syndrome.

Douglas A Drossman1

  • 1UNC Center for Functional GI and Motility Disorders, University of North Carolina School of Medicine at Chapel Hill, USA.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|May 1, 2004
PubMed
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Functional abdominal pain syndrome (FAPS) is a gastrointestinal disorder understood through a biopsychosocial lens. Effective management involves individualized, multicomponent strategies and a strong physician-patient relationship.

Area of Science:

  • Gastroenterology
  • Pain Medicine
  • Psychosomatic Medicine

Background:

  • Functional abdominal pain syndrome (FAPS) is an impactful functional gastrointestinal disorder.
  • It is best understood through a biopsychosocial model, integrating biological and psychosocial factors.
  • Central pain modulatory system dysfunction is key, though motility issues and visceral hypersensitivity may also play roles.

Purpose of the Study:

  • To outline the understanding and management of Functional Abdominal Pain Syndrome (FAPS).
  • To emphasize the importance of a biopsychosocial approach in FAPS diagnosis and treatment.
  • To guide clinicians in evaluating and treating patients with FAPS.

Main Methods:

  • Recognition of characteristic clinical and behavioral features.

Related Experiment Videos

  • Comprehensive medical evaluation including psychosocial assessment and physical examination.
  • Conservative, cost-effective exclusion of other diseases.
  • Main Results:

    • FAPS is characterized by specific patient features requiring psychosocial assessment.
    • Effective evaluation involves a thorough physical exam and ruling out other conditions.
    • Treatment success hinges on physician-patient rapport and individualized, multicomponent strategies.

    Conclusions:

    • A biopsychosocial framework is essential for understanding FAPS.
    • Individualized, multicomponent treatment plans are crucial for managing FAPS.
    • Multidisciplinary pain centers offer options for refractory FAPS cases.