Gupta Mayank, Patil Anand S, Chitneni Ahish, Schatman Michael E, Kalia Hemant, Deer Timothy R, Sayed Dawood, Soin Amol, Baranidharan Ganesan, Staats Peter, Kapural Leonardo, Attaluri Phani Ashok, Verrills Paul, Diwan Sudhir, Levin Danielle, Halder Nimisha, Abd-Elsayed Alaa A
Kansas Pain Management & Neuroscience Research Center, LLC, Overland Park, KS, USA.
St. Luke's Rehabilitation Medical Center, Spokane, WA, USA.
J Pain Res. 2024 Mar 11;17:975-979. doi: 10.2147/JPR.S450008. eCollection 2024.
In this article, we propose a new diagnostic paradigm known as Chronic Abdominal Discomfort Syndrome (CADS). Patient's presentation centers around chronic abdominal pain not explained by acute pathology with or without accompanying dyspepsia, bloating, nausea and vomiting among other symptoms. The pathophysiology is noted to be neurogenic, possibly stemming from visceral sympathetic nerves or abdominal wall afferent nerves. Diagnosis is supported by signs or symptoms traversing clinical, diagnostic and functional criteria. Included is a tool which can assist clinicians in diagnosing patients with CADS per those domains. We hope to facilitate primary care physicians' and gastroenterologists' utilization of our criteria to provide guidance for selecting which patients may benefit from further interventions or evaluation by a pain physician. The pain physician may then offer interventions to provide the patient with relief.
在本文中，我们提出了一种新的诊断范式，即慢性腹部不适综合征（CADS）。患者的临床表现主要围绕慢性腹痛，这种腹痛无法用急性病理学解释，伴有或不伴有消化不良、腹胀、恶心和呕吐等其他症状。据指出，其病理生理学是神经源性的，可能源于内脏交感神经或腹壁传入神经。诊断由跨越临床、诊断和功能标准的体征或症状支持。其中包括一种工具，可帮助临床医生根据这些领域诊断CADS患者。我们希望促进初级保健医生和胃肠病学家使用我们的标准，为选择哪些患者可能从疼痛科医生的进一步干预或评估中受益提供指导。然后，疼痛科医生可以提供干预措施，为患者缓解疼痛。
