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Managing pain in inflammatory bowel disease
Michael J Docherty1, R Carter W Jones, Mark S Wallace
1Dr. Docherty is an Assistant Clinical Professor in the Division of Gastroenterology, Dr. Jones III is an Assistant Clinical Professor in the Department of Anesthesiology, and Dr. Wallace is a Professor of Clinical Anesthesia and Director of the Center for Pain and Palliative Medicine in the Department of Anesthesiology, all at the University of California San Diego School of Medicine in La Jolla, California.
Managing pain in inflammatory bowel disease (IBD) is crucial for patient quality of life. This review covers current and future therapies for IBD pain, offering a treatment algorithm for complex cases.
Area of Science:
- Gastroenterology
- Pain Management
- Inflammatory Bowel Disease (IBD) research
Background:
- Pain is a prevalent and debilitating symptom in inflammatory bowel disease (IBD).
- Effective pain management significantly impacts patients' quality of life.
- Differentiating pain sources (inflammation, complications, functional) is complex in IBD.
Purpose of the Study:
- To review current and emerging therapeutic strategies for managing pain in IBD.
- To provide a treatment algorithm to guide clinicians in IBD pain management.
- To discuss the benefits and limitations of various pain treatments in IBD.
Main Methods:
- Comprehensive literature review of existing and novel IBD pain therapies.
- Analysis of clinical, laboratory, radiologic, and endoscopic assessment data.
- Development of a treatment algorithm based on current evidence and expert opinion.
Main Results:
- Current treatments for IBD pain have varying benefits and limitations.
- Future therapies show promise for improved pain control in IBD.
- A structured approach can aid in managing chronic pain despite active disease treatment.
Conclusions:
- Effective IBD pain management requires a multi-faceted approach.
- A proposed algorithm can assist clinicians in navigating complex IBD pain scenarios.
- Further research into novel therapies is essential for advancing IBD patient care.
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