Contribution to differential diagnosis of chronic abdominal pain

Česká verzia

Authors: Petr Dítě ¹ ; Bohuslav Kianička ²
Authors place of work: Interní hepatogastroenterologická klinika Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta prof. MU Dr. Jan Lata, CSc. 2Gastroenterologické oddělení II. interní kliniky Lékařské fakulty MU a FN u sv. Anny, přednosta prof. MU Dr. Miroslav Souč ¹
Published in the journal: Vnitř Lék 2010; 56(3): 217-219
Category: Reviews

Summary

Differential diagnosis of abdominal pain is a complex area of internal medicine. The present paper discusses possible aetiology together with characterisation of some other signs, pain localisation, its propagation and diagnosis. The approach to differential diagnosis of abdominal pain must always be comprehensive and span from targeted anamnesis to physical examination of the abdomen and rational application of available, mainly imaging and endoscopic methods. Therefore, we present the most frequent aetiologies of functional and organic impairments of the oesophagus, intestines and pancreatic and biliary area, including possible extra- abdominal causes of abdominal pain. It is emphasised that abdominal pain should always be carefully investigated and analysed in order to prevent major mistakes and possible harm to our patients.

Key words:
chronic pain – functional cause – organic disease – oesophagus – stomach – intestine – biliary system – pancreas – extra- abdominal aetiology

Zdroje

1. Hegglin R. Diferenciální diagnostika vnitřních chorob. Praha: Avicenum 1972.

2. Koteish A, Kalloo A. Chronic or recurrent abdominal pain. In: Weinstein WM et al. Clinical Gastroenterology and Hepatology. Elsevier Mosby 2005: 15– 19.

3. Vakil N. Epigastric pain in dyspepsia and reflux disease. Rev Gastroenterol Disord 2003; 3 (Suppl 4): S16– S21.

4. Schwetz I, Bradesi S, Mayer EA. Current insights into the pathophysiology of irritable bowel syndrome. Curr Gastroenterol Rep 2003; 5: 331– 336.

5. Lankisch PG. The problem of diagnosing chronic pancreatitis. Dig Liv Dis 2003; 35: 131– 134.

6. Layer P, Melle U. Chronic pancreatitis: definition and classification for clinical practice. In: Dominguez- Munoz JE. Clinical Pancreatology. Blackwell Publishing 2004: 180– 186.

7. Malagelada JR. Chronic abdominal pain and discomfort. In: Corazziari E et al. Chronic gastrointestinal disorders. Milano: Messaggi 1999: 189– 206.

8. Traue HC, Kessler M, Rudisch T. Extragastrointestinal chronic pain. In: Corazziari Eet al. Chronic gastrointestinal disorders. Milano: Messaggi 1999: 217– 228.