Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Division of Gastroenterology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
Clin Gastroenterol Hepatol. 2023 Feb;21(2):264-279. doi: 10.1016/j.cgh.2022.09.022. Epub 2022 Sep 27.
Recurrent abdominal pain is a common reason for repeated visits to outpatient clinics and emergency departments, reflecting a substantial unmet need for timely and accurate diagnosis. A lack of awareness of some of the rarer causes of recurrent abdominal pain may impede diagnosis and delay effective management. This article identifies some of the key rare but diagnosable causes that are frequently missed by gastroenterologists and provides expert recommendations to support recognition, diagnosis, and management with the ultimate aim of improving patient outcomes.
复发性腹痛是患者反复到门诊和急诊就诊的常见原因,反映出及时、准确诊断的需求尚未得到充分满足。对一些罕见复发性腹痛病因认识不足,可能会阻碍诊断并延迟有效治疗。本文确定了一些关键的罕见但可诊断病因,这些病因经常被胃肠病学家漏诊,并提供了专家建议以支持识别、诊断和管理,最终目标是改善患者结局。