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关于炎症性肠病疼痛管理的AGA临床实践更新:评论

Laurie Keefer¹, Jana G Hashash², Eva Szigethy³

¹Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York.

Gastroenterology

|April 19, 2024

概括

患有炎症性肠病 (IBD) 的患者即使没有活跃的肠道炎症,也经常经历疼痛. 这一指南有助于胃肠科医生评估,诊断和治疗IBD疼痛,当炎症是静止时.

科学领域:

胃肠病学胃肠病学
临床医学临床医学
疼痛管理疼痛管理

背景情况:

疼痛是炎症性肠病 (IBD) 患者经常出现的症状.
即使肠道炎症不活跃 (静止),疼痛也可能持续.
胃肠道学家需要指导,在没有活跃炎症的IBD患者中管理疼痛.

研究的目的:

为评估,诊断和治疗IBD患者疼痛提供专家指导.
为了应对在没有活跃的肠道炎症的情况下管理疼痛的临床挑战.
为胃肠科医生提供一种实用的方法,以应对静止IBD疼痛.

主要方法:

基于临床经验和最新文献的专家评论.
通过临床实践更新委员会 (CPUC) 流程开发的指导.
由胃肠病学专家进行的内部和外部同行评审.

主要成果:

评论侧重于IBD患者疼痛的评估.
讨论了IBD相关疼痛的诊断策略.
概述了静止IBD疼痛的治疗方法.

结论:

在IBD中有效的疼痛管理至关重要,即使没有活跃的炎症.
对评估和治疗的结构化方法可以改善患者的治疗结果.
本指南有助于临床医生解决IBD患者的持续性疼痛.

关键词:

大脑肠道行为疗法 IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD IBD 神经调节剂是一种神经调节剂.疼痛疼痛疼痛疼痛自主管理自主管理

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