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[Severe forms of so-called functional epigastric pain]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|March 23, 1976
Summary
This study describes 17 severe functional epigastric pain cases resistant to treatment. Psychological factors and specific pain characteristics were identified, with positive long-term outcomes following hospital drug treatment.
Area of Science:
- Gastroenterology
- Psychosomatic Medicine
Context:
- Functional epigastric pain (FEP) is a common condition often resistant to standard treatments.
- Severe FEP cases present unique challenges in diagnosis and management.
- Understanding the psychological underpinnings of FEP is crucial for effective intervention.
Purpose:
- To characterize severe cases of functional epigastric pain.
- To identify unique clinical features and psychological profiles associated with severe FEP.
- To evaluate the efficacy of inpatient drug treatment for severe FEP.
Summary:
- Seventeen patients with severe functional epigastric pain, characterized by chronicity, impact on health, temporal fixity, and reproducible pain on aortic palpation, were studied.
- Psychological assessment revealed an unusual form of neurotic decompensation under specific circumstances.
- Inpatient drug treatment demonstrated favorable short-term and sustained long-term (2-5 years) results.
Impact:
- This research highlights specific diagnostic markers for severe functional epigastric pain.
- It underscores the importance of considering psychological factors in refractory epigastric pain.
- The findings support the use of inpatient drug treatment for severe, psychosomatic-related epigastric pain, offering a potential therapeutic avenue.