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      Outcome of patients with chronic abdominal pain referred to chronic pain clinic.

      The American Journal of Gastroenterology
      Abdominal Pain, etiology, therapy, Adult, Aged, Chronic Disease, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pain Clinics, Retrospective Studies, Time Factors, Treatment Outcome

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          Abstract

          We determined the outcome of patients with chronic abdominal pain of unknown etiology referred by gastroenterologists to a chronic pain clinic. A retrospective chart review of 43 consecutive patients seen by a university-based gastroenterology group was referred to our Chronic Pain Clinic for evaluation and treatment. Pain character and location, the referring diagnosis, and initial Chronic Pain Clinic diagnosis was compared between responders and nonresponders. Early and long-term pain relief was scored by standard questionnaire. Of the 43 patients with chronic abdominal pain of undetermined etiology, 70% reported complete or substantial pain relief by the end of chronic pain management. Pain character and location and the referring diagnosis were not predictors of pain relief. Long-term pain relief was reported by 35% of patients. A substantial group of patients with chronic abdominal pain of unknown etiology benefited from Chronic Pain Clinic services.

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          Most cited references17

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          Research in cancer pain. What we know and what we need to know.

          C Cleeland (1991)
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            Abdominal-wall tenderness: A useful sign in the acute abdomen.

            120 patients admitted as an emergency with localised abdominal pain were tested for abdominal-wall tenderness. Of the 24 patients with a positive test only 1 had a detectable intra-abdominal cause. In the remaining 23 no reason for the pain could be found.
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              Neurolytic Celiac Plexus Block for Treatment of Cancer Pain

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                Author and article information

                Journal
                10925989
                10.1111/j.1572-0241.2000.02170.x

                Chemistry
                Abdominal Pain,etiology,therapy,Adult,Aged,Chronic Disease,Female,Follow-Up Studies,Humans,Male,Middle Aged,Pain Clinics,Retrospective Studies,Time Factors,Treatment Outcome

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