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AGA 临床实践更新:炎症性肠病的疼痛管理:评论。

AGA Clinical Practice Update on Pain Management in Inflammatory Bowel Disease: Commentary.

机构信息

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

Inflammatory Bowel Disease Center, Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida.

出版信息

Gastroenterology. 2024 Jun;166(6):1182-1189. doi: 10.1053/j.gastro.2024.03.034. Epub 2024 Apr 17.

Abstract

DESCRIPTION

Pain is a common symptom among patients with inflammatory bowel disease (IBD). Although pain typically occurs during episodes of inflammation, it is also commonly experienced when intestinal inflammation is quiescent. Many gastroenterologists are at a loss how to approach pain symptoms when they occur in the absence of gut inflammation. We provide guidance in this area as to the evaluation, diagnosis, and treatment of pain among patients with IBD.

METHODS

This CPU was commissioned and approved by the AGA Institute Clinical Practice Updates Committee (CPUC) and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to the AGA membership and underwent internal peer review by the CPUC and external peer review through standard procedures of Gastroenterology. This expert commentary incorporates important as well as recently published studies in this field, and it reflects the experiences of the authors. Formal ratings regarding the quality of evidence or strength of the presented considerations were not included because systematic reviews were not performed.

摘要

描述

疼痛是炎症性肠病(IBD)患者的常见症状。尽管疼痛通常发生在炎症发作期间,但在肠道炎症静止时也经常发生。许多胃肠病学家在肠道炎症不存在时遇到疼痛症状时感到困惑,不知道如何处理。我们在该领域为 IBD 患者的疼痛评估、诊断和治疗提供指导。

方法

本临床实践更新委员会(CPU)由 AGA 研究所委托和批准,并经 AGA 理事会批准,为 AGA 成员高度重视的临床重要主题提供及时指导,并由 CPU 内部同行评审和通过胃肠病学的标准程序进行外部同行评审。本专家评论纳入了该领域的重要和最近发表的研究,并反映了作者的经验。由于没有进行系统评价,因此没有包括关于证据质量或所提出考虑因素强度的正式评分。

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