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Sitio del dolor desde el intestino irritable
Lancet (London, England)
|August 30, 1980
Resumen
Comprender la distribución del dolor en el colon es clave. Este estudio mapeó los sitios de dolor referidos en pacientes con síndrome del intestino irritable (SII), lo que potencialmente reduce el diagnóstico erróneo y las cirugías innecesarias.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Medicina para el dolor Medicina para el dolor Medicina.
- Cirugía colorrectal cirugía colorrectal.
Sus antecedentes:
- Los patrones de dolor referidos del colon no se comprenden completamente.
- El síndrome del intestino irritable (SII) se caracteriza por dolor abdominal, pero su origen y distribución precisos pueden ser complejos.
- El mapeo preciso del dolor de colon es crucial para el diagnóstico diferencial y evitar procedimientos invasivos.
Objetivo del estudio:
- Para investigar y mapear la distribución de las sensaciones de dolor que se originan en varios sitios dentro del colon.
- Para comparar los patrones de referencia del dolor en sujetos sanos frente a pacientes con síndrome del intestino irritable (SII).
- Para identificar los sitios de referencia de dolor extraabdominal no descritos anteriormente asociados con la distensión del colon.
Principales métodos:
- El dolor de colon fue inducido usando un catéter de globo insertado durante la colonoscopia.
- La percepción del dolor se registró desde múltiples ubicaciones en todo el colon en sujetos normales y pacientes con SII.
- Los sujetos informaron la calidad y la ubicación del dolor inducido, que se comparó con sus síntomas de presentación.
Principales resultados:
- En pacientes con sangrado rectal y sin dolor espontáneo, el dolor de colon se sintió principalmente en el abdomen central, inferior e izquierdo.
- Los pacientes con doloroso SII reportaron dolor en todo el abdomen.
- La distensión del colon ascendente y transverso con frecuencia causó dolor del lado derecho o abdominal superior en pacientes con SII, coincidiendo con sus síntomas reportados en 29 de los 48 casos.
- Se identificaron varios nuevos sitios de referencia de dolor extraabdominal.
Conclusiones:
- La distribución del dolor de colon, particularmente en el SII, es variada y puede presentarse en ubicaciones atípicas, incluidos los sitios extraabdominales.
- Reconocer estos diversos patrones de dolor puede ayudar en el diagnóstico preciso de las afecciones del colon.
- Una mayor conciencia de la distribución del dolor colónico puede ayudar a evitar investigaciones diagnósticas innecesarias, como la laparotomía exploratoria.
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